Roberts, Susan

Roberts, Susan is an individual health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roberts, Susan can be contacted via phone (505) 846-3200.

Contact Information

Primary practice address
2050A 2Nd St Se Kirtland Afb NM 87117-5522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K2574 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A-1723-13 New Mexico

Profile Details

NPI number 1437158896
LBN Legal business name Roberts, Susan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Apr 7th, 2021 - about 4 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 1437158896 NPPES
Texas MEDICAID 153862101
Texas MEDICAID 00002166

Popular Providers