Roberts, Craig S

Roberts, Craig S is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Roberts, Craig S can be contacted via phone (502) 584-7525.

Contact Information

Primary practice address
530 S Jackson St Louisville KY 40202-1675
Fax: (502) 589-0849
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 27746 Kentucky

Profile Details

NPI number 1720007115
LBN Legal business name Roberts, Craig S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 22nd, 2016 - about 8 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 1720007115 NPPES
Indiana MEDICAID 100370290
Indiana Other 000000049344
Indiana Other 1049641
Indiana MEDICAID 64277460

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