Roberts, Douglas L
Roberts, Douglas L is an individual health care provider with primary practice located at 310 Sterling Dr Suite 100, Orchard Park NY 14127-1569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roberts, Douglas L can be contacted via phone (716) 677-6800.Contact Information
Primary practice address
310 Sterling Dr Suite 100
Orchard Park NY 14127-1569
Phone: (716) 677-6800
Fax: (716) 634-1930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 106412 | New York |
Profile Details
| NPI number | 1811931066 |
|---|---|
| LBN Legal business name | Roberts, Douglas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811931066 | NPPES |
| New York | MEDICAID | 00614219 | |
| New York | Other | P00272412 |
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