Roberts, Stanley Alan
Roberts, Stanley Alan is an individual health care provider with primary practice located at 10 Kirtland St , Lynn MA 01905-1821. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Roberts, Stanley Alan can be contacted via phone (781) 595-2552.Contact Information
Primary practice address
10 Kirtland St
Lynn MA 01905-1821
Phone: (781) 595-2552
Fax: (781) 593-0730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10455 | Massachusetts |
Profile Details
| NPI number | 1124058961 |
|---|---|
| LBN Legal business name | Roberts, Stanley Alan |
| Credentials | DMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1124058961 | NPPES |
| Massachusetts | MEDICAID | 0252115 |
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