Hibbard, Roberta A

Hibbard, Roberta A is an individual health care provider with primary practice located at 1001 W 10Th St B2100, Indianapolis IN 46202-2859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Hibbard, Roberta A can be contacted via phone (317) 630-7865.

Contact Information

Primary practice address
1001 W 10Th St B2100 Indianapolis IN 46202-2859
Phone: (317) 630-7865
Fax: (317) 630-2587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01034240 Indiana
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 01034240 Indiana

Profile Details

NPI number 1649387473
LBN Legal business name Hibbard, Roberta A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jan 13th, 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 1649387473 NPPES
Indiana MEDICAID 100238580

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