Roberts, Michael J
Roberts, Michael J is an individual health care provider with primary practice located at 12409 E Mission Ave Ste 101, Spokane Valley WA 99216-3101. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Roberts, Michael J can be contacted via phone (509) 928-8800.Contact Information
Primary practice address
12409 E Mission Ave Ste 101
Spokane Valley WA 99216-3101
Phone: (509) 928-8800
Fax: (509) 321-0154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7500 | Washington |
Profile Details
| NPI number | 1497751119 |
|---|---|
| LBN Legal business name | Roberts, Michael J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497751119 | NPPES |
| Washington | MEDICAID | 5033584 |
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