Smith, Roberta Jean

Smith, Roberta Jean is an individual health care provider with primary practice located at 801 Dolliver St , Pismo Beach CA 93449-2503. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as her primary health care specialty. Smith, Roberta Jean can be contacted via phone (805) 773-5571.

Contact Information

Primary practice address
801 Dolliver St Pismo Beach CA 93449-2503
Fax: (805) 773-1270
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist 224L00000X CPED3993 California

Profile Details

NPI number 1487184123
LBN Legal business name Smith, Roberta Jean
Credentials C.PED
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Jul 21st, 2022 - about 3 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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