Robertson, Deborah G

Robertson, Deborah G is an individual health care provider with primary practice located at 100 Hospital Drive , Ketchum ID 83340-6280. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Robertson, Deborah G can be contacted via phone (208) 727-8100.

Contact Information

Primary practice address
100 Hospital Drive Ketchum ID 83340-6280
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD23169 Oregon
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X M-10641 Idaho

Profile Details

NPI number 1407870520
LBN Legal business name Robertson, Deborah G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 7th, 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 1407870520 NPPES
Oregon MEDICAID 286877

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