Roberts, Van Gregory
Roberts, Van Gregory is an individual health care provider with primary practice located at 8202 S Access Rd Bldg 946 , Columbus OH 43217-5903. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roberts, Van Gregory can be contacted via phone (614) 989-1213.Contact Information
Primary practice address
8202 S Access Rd Bldg 946
Columbus OH 43217-5903
Phone: (614) 989-1213
Fax: (614) 336-6635
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002763 | Ohio |
Profile Details
NPI number | 1063402394 |
---|---|
LBN Legal business name | Roberts, Van Gregory |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2005 |
Last updated | Dec 15th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063402394 | NPPES |
Ohio | Other | 002763 | OHIO LICENSE |
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