Roberts, Sheldon J
Roberts, Sheldon J is an individual health care provider with primary practice located at 509 E 23Rd St , Panama City FL 32405-5307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberts, Sheldon J can be contacted via phone (850) 215-8999.Contact Information
Primary practice address
509 E 23Rd St
Panama City FL 32405-5307
Phone: (850) 215-8999
Fax: (850) 215-8681
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9104118 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1863 | Arizona |
Profile Details
NPI number | 1225024680 |
---|---|
LBN Legal business name | Roberts, Sheldon J |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Jun 7th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225024680 | NPPES |
Arizona | MEDICAID | 398661 |
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