Roberts, Maria Dolores

Roberts, Maria Dolores is an individual health care provider with primary practice located at 201 Saint Ann Dr Ste B , Mandeville LA 70471. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roberts, Maria Dolores can be contacted via phone (985) 898-4001.

Contact Information

Primary practice address
201 Saint Ann Dr Ste B Mandeville LA 70471
Phone: (985) 898-4001
Fax: (985) 626-9618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD53849 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 308242 Louisiana

Profile Details

NPI number 1104262062
LBN Legal business name Roberts, Maria Dolores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2013
Last updated Jan 30th, 2019 - about 5 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 1104262062 NPPES
Tennessee MEDICAID Q022043

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