Roberts, Deanna Marie

Roberts, Deanna Marie is an individual health care provider with primary practice located at 1106 Chuck Dawley Blvd , Mount Pleasant SC 29464-4183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Roberts, Deanna Marie can be contacted via phone (843) 876-0111.

Contact Information

Primary practice address
1106 Chuck Dawley Blvd Mount Pleasant SC 29464-4183
Phone: (843) 876-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 1230 South Carolina

Profile Details

NPI number 1063142578
LBN Legal business name Roberts, Deanna Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 2 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 1063142578 NPPES
Other 0000000 NOT A BILLING PROVIDER

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