Robertson, John M
Robertson, John M is an sole proprietor health care provider with primary practice located at 1441 Wakarusa Dr Suite 200, Lawrence KS 66049-3832. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Robertson, John M can be contacted via phone (785) 840-9820.Contact Information
Primary practice address
1441 Wakarusa Dr Suite 200
Lawrence KS 66049-3832
Phone: (785) 840-9820
Fax: (785) 841-8016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 767 | Kansas |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | KS#767 | Kansas |
Profile Details
| NPI number | 1013918796 |
|---|---|
| LBN Legal business name | Robertson, John M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Dec 18th, 2012 - about 12 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 | 1013918796 | NPPES |
| Kansas | MEDICAID | 100239800A |
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