Roberts, Lonnie D

Roberts, Lonnie D is an individual health care provider with primary practice located at 19816 Adams Rd , South Bend IN 46637-1620. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Roberts, Lonnie D can be contacted via phone (574) 273-2343.

Contact Information

Primary practice address
19816 Adams Rd South Bend IN 46637-1620
Phone: (574) 273-2343
Fax: (574) 272-4752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Home Modifications 171WH0202X

Profile Details

NPI number 1437395571
LBN Legal business name Roberts, Lonnie D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2008
Last updated Dec 19th, 2008 - about 18 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 1437395571 NPPES
Indiana MEDICAID 200888720A

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