Roberts, Michael K
Roberts, Michael K is an individual health care provider with primary practice located at 1460 Tod Ave Nw , Warren OH 44485-2407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Michael K can be contacted via phone (330) 392-0311.Contact Information
Primary practice address
1460 Tod Ave Nw
Warren OH 44485-2407
Phone: (330) 392-0311
Fax: (216) 229-2897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35080885 | Ohio |
Profile Details
| NPI number | 1578550620 |
|---|---|
| LBN Legal business name | Roberts, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578550620 | NPPES |
| Ohio | MEDICAID | 2055565 |
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