Roberts, Douglas E.

Roberts, Douglas E. is an individual health care provider with primary practice located at 900 N Heritage Dr Bldg E, Ridgecrest CA 93555-5536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roberts, Douglas E. can be contacted via phone (760) 446-4571.

Contact Information

Primary practice address
900 N Heritage Dr Bldg E Ridgecrest CA 93555-5536
Fax: (760) 446-0970
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G35606 California

Profile Details

NPI number 1508869926
LBN Legal business name Roberts, Douglas E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Mar 7th, 2023 - about last year

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 1508869926 NPPES
Other 00G356060 BLUE SHIELD
Other CA0103 BLUE SHIELD
MEDICAID 00G356060 BLUE SHIELD
Other 00G356060 BLUE SHIELD
Other 0616650001 BLUE SHIELD
Other 93555B036 BLUE SHIELD
Other 00G356060 BLUE SHIELD
Other 110039741 BLUE SHIELD

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