Belisle, Robert J
Belisle, Robert J is an individual health care provider with primary practice located at 8780 Us Highway 42 Suite A, Florence KY 41042-8850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Belisle, Robert J can be contacted via phone (859) 384-2660.Contact Information
Primary practice address
8780 Us Highway 42 Suite A
Florence KY 41042-8850
Phone: (859) 384-2660
Fax: (859) 384-5248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34002859B | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02651 | Kentucky |
Profile Details
| NPI number | 1861499121 |
|---|---|
| LBN Legal business name | Belisle, Robert J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 25th, 2014 - 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 | 1861499121 | NPPES |
| Ohio | Other | 34.002859 | MEDICAL LICENSE |
| Ohio | MEDICAID | 64122195 | MEDICAL LICENSE |
| Ohio | Other | 02651 | MEDICAL LICENSE |
| Ohio | MEDICAID | 0426515 | MEDICAL LICENSE |
| Ohio | Other | P00344889 | MEDICAL LICENSE |
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