Roberts, Gavin

Roberts, Gavin is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roberts, Gavin can be contacted via phone (317) 274-8103.

Contact Information

Primary practice address
702 Barnhill Dr Indianapolis IN 46202-5128
Phone: (317) 274-8103
Fax: (317) 274-1111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01043662A Indiana

Profile Details

NPI number 1477555035
LBN Legal business name Roberts, Gavin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated May 6th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477555035 NPPES
Indiana MEDICAID 200112290

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