Roberts, E. Dwain
Roberts, E. Dwain is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Roberts, E. Dwain can be contacted via phone (573) 556-7755.Contact Information
Primary practice address
1241 W Stadium Blvd
Jefferson City MO 65109-6023
Phone: (573) 556-7755
Fax: (573) 761-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 114884 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 114884 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 114884 | Missouri |
Profile Details
| NPI number | 1013997782 |
|---|---|
| LBN Legal business name | Roberts, E. Dwain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013997782 | NPPES |
| Missouri | MEDICAID | 209786607 | |
| Missouri | Other | CC7852 | |
| Missouri | Other | 300090314 | |
| Missouri | Other | DB1586 | |
| Missouri | Other | P00201659 |
Popular Providers
-
Waddell, John J
1125 Madison St , Jefferson City MO 65101-5227 -
Mcnutt, Donald K
2713 Industrial Dr Suite C, Jefferson City MO 65109-6705 -
Prost, Monika M
1241 W Stadium Blvd , Jefferson City MO 65109-6023 -
Hrastich, Matthew A
1125 Madison St , Jefferson City MO 65101-5227 -
Smith, Bonnie R
1241 W Stadium Blvd , Jefferson City MO 65109-6023 -
Wade, Marcus Jerome
1241 W Stadium Blvd , Jefferson City MO 65109-6023 -
Patterson, Adam Clay
1125 Madison St , Jefferson City MO 65101-5227 -
Harper, Steven C.
1241 W Stadium Blvd , Jefferson City MO 65109-6023