Roberts, Dale M.

Roberts, Dale M. is an sole proprietor health care provider with primary practice located at 201 Abraham Flexner Way Suite 1105, Louisville KY 40202-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Roberts, Dale M. can be contacted via phone (502) 581-9223.

Contact Information

Primary practice address
201 Abraham Flexner Way Suite 1105 Louisville KY 40202-3841
Phone: (502) 581-9223
Fax: (502) 581-9225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 22615 Kentucky

Profile Details

NPI number 1053360370
LBN Legal business name Roberts, Dale M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2006
Last updated Oct 2nd, 2008 - about 16 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 1053360370 NPPES
Indiana MEDICAID 100009950
Indiana Other 000000043697
Indiana MEDICAID 64226152

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