Roberts, Jean Langley

Roberts, Jean Langley is an individual health care provider with primary practice located at 1200 W White River Blvd , Muncie IN 47303-4988. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Roberts, Jean Langley can be contacted via phone (765) 282-8991.

Contact Information

Primary practice address
1200 W White River Blvd Muncie IN 47303-4988
Fax: (765) 284-7813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11013788A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01067670A Indiana

Profile Details

NPI number 1972702744
LBN Legal business name Roberts, Jean Langley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Apr 20th, 2017 - about 8 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 1972702744 NPPES
Indiana MEDICAID 200995060
Indiana Other P00874039
Indiana Other 000001074965

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