Roberts, Mark William

Roberts, Mark William is an individual health care provider with primary practice located at 34509 9Th Ave S Ste 208, Federal Way WA 98003-6700. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Roberts, Mark William can be contacted via phone (253) 944-3278.

Contact Information

Primary practice address
34509 9Th Ave S Ste 208 Federal Way WA 98003-6700
Phone: (253) 944-3278
Fax: (253) 944-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G72120 California
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00033523 Washington

Profile Details

NPI number 1649234543
LBN Legal business name Roberts, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 7th, 2023 - about last year

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 1649234543 NPPES
Washington Other 0281815 STATE L&I
Washington Other 33523 STATE L&I
Washington Other 0281816 STATE L&I
Washington MEDICAID 00G721201 STATE L&I
Washington Other 0290078 STATE L&I
Washington Other G72120 STATE L&I

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