Roberts, David F

Roberts, David F is an sole proprietor health care provider with primary practice located at 4300 Leisure Time Dr , Diamondhead MS 39525-3241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, David F can be contacted via phone (228) 255-4300.

Contact Information

Primary practice address
4300 Leisure Time Dr Diamondhead MS 39525-3241
Fax: (228) 255-3626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11771 Mississippi

Profile Details

NPI number 1932118965
LBN Legal business name Roberts, David F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jul 10th, 2014 - about 11 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 1932118965 NPPES
Mississippi MEDICAID 09015329

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