Roberts, Emily Elizabeth

Roberts, Emily Elizabeth is an individual health care provider with primary practice located at 3000 Old Centre Rd , Portage MI 49024-4883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roberts, Emily Elizabeth can be contacted via phone (269) 321-7546.

Contact Information

Primary practice address
3000 Old Centre Rd Portage MI 49024-4883
Phone: (269) 321-7546
Fax: (269) 321-1705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005368 Michigan

Profile Details

NPI number 1770730053
LBN Legal business name Roberts, Emily Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Sep 16th, 2020 - about 4 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 1770730053 NPPES
Michigan Other 5601005368 STATE LICENSE
Michigan MEDICAID 1770730053 STATE LICENSE

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