Roberts, Susan K.
Roberts, Susan K. is an sole proprietor health care provider with primary practice located at 1842 Sugarland Dr Suite 101, Sheridan WY 82801-5719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roberts, Susan K. can be contacted via phone (307) 673-4960.Contact Information
Primary practice address
1842 Sugarland Dr Suite 101
Sheridan WY 82801-5719
Phone: (307) 673-4960
Fax: (307) 673-4951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 6397A | Wyoming |
Profile Details
| NPI number | 1063417954 |
|---|---|
| LBN Legal business name | Roberts, Susan K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Dec 1st, 2011 - about 13 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 | 1063417954 | NPPES |
| Wyoming | Other | W24224 | MEDICARE PTAN |
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