Roberts, Timothy

Roberts, Timothy is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roberts, Timothy can be contacted via phone (909) 558-4475.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-4475
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 657663 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 95001006 California

Profile Details

NPI number 1245293810
LBN Legal business name Roberts, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Apr 6th, 2022 - about 2 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 1245293810 NPPES
Texas MEDICAID 1578585-02
Texas Other P00198584
Texas Other 84441U

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