Roberts, Michael W

Roberts, Michael W is an sole proprietor health care provider with primary practice located at 4201 Saint Antoine St Ste. 6B, Detroit MI 48201-2153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Roberts, Michael W can be contacted via phone (313) 966-2609.

Contact Information

Primary practice address
4201 Saint Antoine St Ste. 6B Detroit MI 48201-2153
Phone: (313) 966-2609
Fax: (313) 745-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101011614 Michigan

Profile Details

NPI number 1922084938
LBN Legal business name Roberts, Michael W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922084938 NPPES
Michigan MEDICAID 4462390
Michigan MEDICAID 3435647

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