Roberts, John Larry

Roberts, John Larry is an individual health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Roberts, John Larry can be contacted via phone (209) 735-5086.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-5086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 505769

Profile Details

NPI number 1972870731
LBN Legal business name Roberts, John Larry
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2011
Last updated Jan 4th, 2013 - 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.

Request for update

Popular Providers