Roberts, Gregory J
Roberts, Gregory J is an individual health care provider with primary practice located at 105 S Willow Ave , Cookeville TN 38501-3138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Roberts, Gregory J can be contacted via phone (931) 526-9518.Contact Information
Primary practice address
105 S Willow Ave
Cookeville TN 38501-3138
Phone: (931) 526-9518
Fax: (931) 372-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD036986 | Tennessee |
Profile Details
| NPI number | 1043207574 |
|---|---|
| LBN Legal business name | Roberts, Gregory J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | May 14th, 2012 - about 12 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 | 1043207574 | NPPES |
| Tennessee | MEDICAID | 3880848 |
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