Roberts, Phillip David

Roberts, Phillip David is an individual health care provider with primary practice located at 1248 Kinneys Ln , Portsmouth OH 45662-2927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Phillip David can be contacted via phone (740) 356-7290.

Contact Information

Primary practice address
1248 Kinneys Ln Portsmouth OH 45662-2927
Fax: (740) 356-7938
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34009451 Ohio

Profile Details

NPI number 1871742338
LBN Legal business name Roberts, Phillip David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Dec 15th, 2020 - about 4 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 1871742338 NPPES
Ohio MEDICAID 2958410

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