Roberts, Jon A

Roberts, Jon A is an individual health care provider with primary practice located at 7695 Poplar Pike Suite 101, Memphis TN 38138-5947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Roberts, Jon A can be contacted via phone (901) 685-2696.

Contact Information

Primary practice address
7695 Poplar Pike Suite 101 Memphis TN 38138-5947
Phone: (901) 685-2696
Fax: (901) 682-9747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21672 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 21672 Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 13448 Mississippi

Profile Details

NPI number 1366445835
LBN Legal business name Roberts, Jon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Aug 2nd, 2016 - 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 1366445835 NPPES
Tennessee MEDICAID 3061916

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