Nordberg, Robert Emanuel
Nordberg, Robert Emanuel is an sole proprietor health care provider with primary practice located at 50 Leroy St , Potsdam NY 13676-1786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nordberg, Robert Emanuel can be contacted via phone (315) 265-3300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 118288 | New York |
Profile Details
| NPI number | 1568497840 |
|---|---|
| LBN Legal business name | Nordberg, Robert Emanuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568497840 | NPPES |
| New York | MEDICAID | 01013010 | |
| New York | Other | 001018200 | |
| New York | Other | 1182880 |
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