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
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician | 247ZC0005X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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