Ashby, Roberta

Ashby, Roberta is an individual health care provider with primary practice located at 1550 Hobbs Dr , Delavan WI 53115-2027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ashby, Roberta can be contacted via phone (262) 740-4200.

Contact Information

Primary practice address
1550 Hobbs Dr Delavan WI 53115-2027
Phone: (262) 740-4200
Fax: (262) 740-4239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43161 Wisconsin

Profile Details

NPI number 1952480022
LBN Legal business name Ashby, Roberta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 1st, 2021 - about 5 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 1952480022 NPPES
Wisconsin MEDICAID 34081600
Wisconsin Other 370019108

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