Roberts, Paul Joseph

Roberts, Paul Joseph is an individual health care provider with primary practice located at 4043 S Webster St , Kokomo IN 46902-6911. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Roberts, Paul Joseph can be contacted via phone (765) 450-8204.

Contact Information

Primary practice address
4043 S Webster St Kokomo IN 46902-6911
Phone: (765) 450-8204
Fax: (765) 450-8206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040614A Indiana

Profile Details

NPI number 1922042647
LBN Legal business name Roberts, Paul Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 22nd, 2024 - about 6 months 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 1922042647 NPPES
Indiana MEDICAID 100269030A

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