Roberts, Stanley K

Roberts, Stanley K is an sole proprietor health care provider with primary practice located at 6914 Nottingham Ln , Bettendorf IA 52722-9705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Stanley K can be contacted via phone (563) 940-8488.

Contact Information

Primary practice address
6914 Nottingham Ln Bettendorf IA 52722-9705
Phone: (563) 940-8488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01934 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 54416 Colorado

Profile Details

NPI number 1972509107
LBN Legal business name Roberts, Stanley K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Dec 4th, 2014 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972509107 NPPES
Illinois MEDICAID 036071097
Illinois Other IA0152
Illinois Other 40207
Illinois Other 034794
Illinois Other 4796890009
Illinois Other 19886
Illinois MEDICAID 4033811

Popular Providers