Roberts, Tony Lee

Roberts, Tony Lee is an individual health care provider with primary practice located at 54 Hospital Dr , Osage Beach MO 65065-3050. 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, Tony Lee can be contacted via phone (573) 302-1661.

Contact Information

Primary practice address
54 Hospital Dr Osage Beach MO 65065-3050
Phone: (573) 302-1661
Fax: (573) 302-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2017030710 Missouri

Profile Details

NPI number 1922525500
LBN Legal business name Roberts, Tony Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Aug 24th, 2017 - about 8 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 1922525500 NPPES
Missouri Other 2017030710 STATE CRNA LICENSE

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