Roberts, Donna Rae

Roberts, Donna Rae is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Roberts, Donna Rae can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22083 South Carolina

Profile Details

NPI number 1023068558
LBN Legal business name Roberts, Donna Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 14th, 2020 - about 5 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 1023068558 NPPES
South Carolina Other P000396655 RXR MEDICARE
South Carolina MEDICAID 1017662220002 RXR MEDICARE
South Carolina MEDICAID 807619500 RXR MEDICARE
South Carolina MEDICAID 220834 RXR MEDICARE
South Carolina MEDICAID 2734849 RXR MEDICARE

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