Roberts, Thomas S
Roberts, Thomas S is an individual health care provider with primary practice located at 525 Western Ave Ste 302 , Conway AR 72034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Roberts, Thomas S can be contacted via phone (501) 504-6649.Contact Information
Primary practice address
525 Western Ave Ste 302
Conway AR 72034
Phone: (501) 504-6649
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | R3271 | Arkansas |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | R3271 | Arkansas |
Profile Details
NPI number | 1508858036 |
---|---|
LBN Legal business name | Roberts, Thomas S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2005 |
Last updated | Aug 3rd, 2018 - about 6 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 | 1508858036 | NPPES |
Arkansas | Other | 51490 | BCBS |
Arkansas | MEDICAID | 114409001 | BCBS |
Arkansas | Other | 12592000000 | BCBS |
Arkansas | MEDICAID | 114652002 | BCBS |
Arkansas | Other | 200011968 | BCBS |
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