Roberts, Elliott C

Roberts, Elliott C is an individual health care provider with primary practice located at 657 Skyline Dr , Jackson TN 38301-3903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Roberts, Elliott C can be contacted via phone (731) 541-8425.

Contact Information

Primary practice address
657 Skyline Dr Jackson TN 38301-3903
Phone: (731) 541-8425
Fax: (731) 541-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 4301048061 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD0000043714 Tennessee

Profile Details

NPI number 1225091614
LBN Legal business name Roberts, Elliott C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Mar 4th, 2014 - about 11 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 1225091614 NPPES
Michigan MEDICAID 104813136

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