Roberts, James C.

Roberts, James C. is an individual health care provider with primary practice located at 5923 Renaissance Place , Toledo OH 43623. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Roberts, James C. can be contacted via phone (419) 824-5067.

Contact Information

Primary practice address
5923 Renaissance Place Toledo OH 43623
Phone: (419) 824-5067
Fax: (419) 824-5457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35020439 Ohio

Profile Details

NPI number 1104828417
LBN Legal business name Roberts, James C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 8th, 2007 - 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 1104828417 NPPES
Ohio MEDICAID 0046891

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