Roberts, Roger W

Roberts, Roger W is an individual health care provider with primary practice located at 1301 W 12Th Ave Ste 301 , Emporia KS 66801-2590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Roberts, Roger W can be contacted via phone (620) 343-2376.

Contact Information

Primary practice address
1301 W 12Th Ave Ste 301 Emporia KS 66801-2590
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0317701 Kansas

Profile Details

NPI number 1093778003
LBN Legal business name Roberts, Roger W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 16th, 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 1093778003 NPPES
Other 060030783 RAILROAD MEDICARE
MEDICAID 100098630C RAILROAD MEDICARE

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