Robertson, Jon H

Robertson, Jon H is an individual health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Robertson, Jon H can be contacted via phone (901) 522-7700.

Contact Information

Primary practice address
6325 Humphreys Blvd Memphis TN 38120-2300
Fax: (901) 259-2022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 06669 Mississippi
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD07603 Tennessee

Profile Details

NPI number 1871583054
LBN Legal business name Robertson, Jon H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Sep 11th, 2018 - about 7 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 1871583054 NPPES
Tennessee MEDICAID 3169642

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