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
Phone: (208) 727-8100
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407870520 | NPPES |
Oregon | MEDICAID | 286877 |
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