Roberts, Carysia

Roberts, Carysia is an sole proprietor health care provider with primary practice located at 720 W 5Th Ave , Gary IN 46402-1808. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician, which is considered as her primary health care specialty. Roberts, Carysia can be contacted via phone (219) 248-4912.

Contact Information

Primary practice address
720 W 5Th Ave Gary IN 46402-1808
Fax:
Website:

Profile Details

NPI number 1295496578
LBN Legal business name Roberts, Carysia
Credentials LAB DIRECTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2022
Last updated Jan 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295496578 NPPES
Illinois Other 1984 GOVERMENT
Illinois MEDICAID 1984 GOVERMENT
Illinois Other 1984 GOVERMENT
Illinois MEDICAID 1984 GOVERMENT

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