Roberts, Jacob Edward

Roberts, Jacob Edward is an sole proprietor health care provider with primary practice located at 14555 Levan Rd Marion Professional Building Suite 311, Livonia MI 48154-5083. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roberts, Jacob Edward can be contacted via phone (734) 655-2692.

Contact Information

Primary practice address
14555 Levan Rd Marion Professional Building Suite 311 Livonia MI 48154-5083
Phone: (734) 655-2692
Fax: (734) 655-4218
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101015635 Michigan

Profile Details

NPI number 1831218817
LBN Legal business name Roberts, Jacob Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Oct 1st, 2009 - about 15 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 1831218817 NPPES
Michigan Other 0256305894 BCBSM INDIV
Michigan Other 010H233560 BCBSM INDIV

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