Roberts, Jon D
Roberts, Jon D is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roberts, Jon D can be contacted via phone (573) 815-3573.Contact Information
Primary practice address
1600 E Broadway
Columbia MO 65201-5844
Phone: (573) 815-3573
Fax: (573) 445-7285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 110556 | Missouri |
Profile Details
| NPI number | 1265420178 |
|---|---|
| LBN Legal business name | Roberts, Jon D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Jul 13th, 2010 - about 14 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 | 1265420178 | NPPES |
| Missouri | MEDICAID | 203932207 |
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