Robertson, Michael Brian

Robertson, Michael Brian is an individual health care provider with primary practice located at 20333 W 151St St , Olathe KS 66061-5350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Robertson, Michael Brian can be contacted via phone (913) 791-4291.

Contact Information

Primary practice address
20333 W 151St St Olathe KS 66061-5350
Fax: (913) 791-4219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 04-31721 Kansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2006001797 Missouri

Profile Details

NPI number 1497728422
LBN Legal business name Robertson, Michael Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Aug 1st, 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 1497728422 NPPES
Kansas MEDICAID 200371230A
Kansas MEDICAID 200371230B
Kansas MEDICAID 200176303

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