Roberts, Shawn Anthony

Roberts, Shawn Anthony is an individual health care provider with primary practice located at 320 East Main Street , Crosby MN 56441-1691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roberts, Shawn Anthony can be contacted via phone (218) 546-7000.

Contact Information

Primary practice address
320 East Main Street Crosby MN 56441-1691
Phone: (218) 546-7000
Fax: (218) 546-4400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43029 Minnesota

Profile Details

NPI number 1164407524
LBN Legal business name Roberts, Shawn Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Nov 19th, 2020 - about 5 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 1164407524 NPPES
Minnesota MEDICAID 766188600

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