Roberts, Mark A

Roberts, Mark A is an individual health care provider with primary practice located at 106 Edwina Street , Evergreen AL 36401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Roberts, Mark A can be contacted via phone (251) 578-4300.

Contact Information

Primary practice address
106 Edwina Street Evergreen AL 36401
Phone: (251) 578-4300
Fax: (251) 578-4307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 15010 Alabama
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X PM.282 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15010 Alabama

Profile Details

NPI number 1275565442
LBN Legal business name Roberts, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 13th, 2022 - about 2 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 1275565442 NPPES
Alabama MEDICAID 051558849

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