Roberts, Mark A

Roberts, Mark A is an sole proprietor health care provider with primary practice located at 10552 N Watts Springs Park Rd , Edgerton WI 53534-8947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Roberts, Mark A can be contacted via phone (312) 961-9391.

Contact Information

Primary practice address
10552 N Watts Springs Park Rd Edgerton WI 53534-8947
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 16402 Oklahoma
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 31165 Wisconsin

Profile Details

NPI number 1730677881
LBN Legal business name Roberts, Mark A
Credentials MD, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2018
Last updated Apr 24th, 2018 - about 7 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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