Roberts, John Woodson
Roberts, John Woodson is an individual health care provider with primary practice located at 1455 Montego Ste 102, Walnut Creek CA 94598-2990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Roberts, John Woodson can be contacted via phone (925) 935-0627.Contact Information
Primary practice address
1455 Montego Ste 102
Walnut Creek CA 94598-2990
Phone: (925) 935-0627
Fax: (925) 937-6967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G35198 | California |
Profile Details
| NPI number | 1861481004 |
|---|---|
| LBN Legal business name | Roberts, John Woodson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861481004 | NPPES |
| California | MEDICAID | 00G351980 |
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