Roberts, Tadd Nicholas

Roberts, Tadd Nicholas is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Roberts, Tadd Nicholas can be contacted via phone (502) 897-8141.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 897-8141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 48445 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44330 Kentucky

Profile Details

NPI number 1629240379
LBN Legal business name Roberts, Tadd Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2008
Last updated Mar 26th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629240379 NPPES
Kentucky MEDICAID 7100137810

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