Roberts, Michael Don

Roberts, Michael Don is an individual health care provider with primary practice located at 800 Grand Central Mall Suite 2, Vienna WV 26105-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roberts, Michael Don can be contacted via phone (304) 865-4350.

Contact Information

Primary practice address
800 Grand Central Mall Suite 2 Vienna WV 26105-4100
Phone: (304) 865-4350
Fax: (304) 420-5995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17368 West Virginia

Profile Details

NPI number 1144228024
LBN Legal business name Roberts, Michael Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 8th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144228024 NPPES
West Virginia Other 311599387005 MOUNTAIN STATE BCBS
West Virginia Other WV17368 MOUNTAIN STATE BCBS
West Virginia Other 298185 MOUNTAIN STATE BCBS
West Virginia MEDICAID 0048334000 MOUNTAIN STATE BCBS
West Virginia MEDICAID 2055565 MOUNTAIN STATE BCBS
West Virginia Other 5880656 MOUNTAIN STATE BCBS

Popular Providers