Roberts, Thomas E.

Roberts, Thomas E. is an sole proprietor health care provider with primary practice located at 15405 Los Gatos Blvd 104, Los Gatos CA 95032-2500. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Roberts, Thomas E. can be contacted via phone (408) 358-3828.

Contact Information

Primary practice address
15405 Los Gatos Blvd 104 Los Gatos CA 95032-2500
Phone: (408) 358-3828
Fax: (408) 358-2573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G038535 California

Profile Details

NPI number 1912971045
LBN Legal business name Roberts, Thomas E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912971045 NPPES
California Other 94-2881543 TAX IDENTIFICATION NUMBER

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