Roberts, Jennifer
Roberts, Jennifer is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 5650 , Kettering OH 45429-1263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Roberts, Jennifer can be contacted via phone (937) 294-3611.Contact Information
Primary practice address
3533 Southern Blvd Ste 5650
Kettering OH 45429-1263
Phone: (937) 294-3611
Fax: (937) 294-9010
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 50.002811 | Ohio |
Profile Details
NPI number | 1497902944 |
---|---|
LBN Legal business name | Roberts, Jennifer |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 26th, 2008 |
Last updated | Dec 17th, 2020 - about 4 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 | 1497902944 | NPPES |
Ohio | MEDICAID | 0743039 |
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