Roberts, Philip L

Roberts, Philip L is an sole proprietor health care provider with primary practice located at 529 Capp Harlan Rd , Tompkinsville KY 42167-1808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is his primary health care specialty. Roberts, Philip L can be contacted via phone (270) 487-9231.

Contact Information

Primary practice address
529 Capp Harlan Rd Tompkinsville KY 42167-1808
Phone: (270) 487-9231
Fax: (270) 487-5784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23857 Tennessee
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 23857 Tennessee

Profile Details

NPI number 1578593620
LBN Legal business name Roberts, Philip L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 4th, 2006
Last updated Aug 21st, 2015 - about 10 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 1578593620 NPPES
Alabama MEDICAID 009977130
Alabama MEDICAID 64249790
Alabama Other 000000204367
Alabama Other 4029412
Alabama MEDICAID 1804660000
Alabama MEDICAID 3838848
Alabama MEDICAID 3072989
Alabama MEDICAID 2273070

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