Roberts, William Mark

Roberts, William Mark is an individual health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Roberts, William Mark can be contacted via phone (714) 532-8636.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Phone: (714) 532-8636
Fax: (714) 532-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G85878 California

Profile Details

NPI number 1790873578
LBN Legal business name Roberts, William Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1790873578 NPPES
California MEDICAID 00G858780

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