Roberts, Michelle D

Roberts, Michelle D is an individual health care provider with primary practice located at 810 W Anthony Dr , Urbana IL 61802-7431. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Roberts, Michelle D can be contacted via phone (217) 383-3400.

Contact Information

Primary practice address
810 W Anthony Dr Urbana IL 61802-7431
Phone: (217) 383-3400
Fax: (217) 383-3437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1013137090
LBN Legal business name Roberts, Michelle D
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1013137090 NPPES
Illinois Other 203 BLUE CROSS PROV ID
Illinois Other 113326 BLUE CROSS PROV ID
Illinois Other 7216 BLUE CROSS PROV ID
Illinois Other 4117 BLUE CROSS PROV ID

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