Roberts, Cora

Roberts, Cora is an sole proprietor health care provider with primary practice located at 201 3Rd Avenue, Suite 115 , Seward AK 99664. She recently has only one registered license in Dental Providers / Dental Therapist, which is considered as her primary health care specialty. Roberts, Cora can be contacted via phone (907) 224-4925.

Contact Information

Primary practice address
201 3Rd Avenue, Suite 115 Seward AK 99664
Phone: (907) 224-4925
Fax: (907) 224-4933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X 13-114-DHAT Alaska

Profile Details

NPI number 1205265345
LBN Legal business name Roberts, Cora
Credentials DHAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2013
Last updated Jan 9th, 2019 - about 6 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 1205265345 NPPES
Alaska MEDICAID 1603850

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