Robertson, Alvin M

Robertson, Alvin M is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Robertson, Alvin M can be contacted via phone (734) 712-8676.

Contact Information

Primary practice address
5301 E Huron River Dr Ypsilanti MI 48197-1051
Fax: (734) 712-3855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35082621 Ohio

Profile Details

NPI number 1841272424
LBN Legal business name Robertson, Alvin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Aug 6th, 2013 - about 11 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 1841272424 NPPES
Indiana MEDICAID 200442020
Indiana MEDICAID 64074941
Indiana MEDICAID 2435323

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