Roberg, Jeff

Roberg, Jeff is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Mercy Hospital Center, Coon Rapids MN 55433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roberg, Jeff can be contacted via phone (763) 236-7144.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Mercy Hospital Center Coon Rapids MN 55433
Fax: (763) 236-7733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 400615100 Minnesota

Profile Details

NPI number 1881653947
LBN Legal business name Roberg, Jeff
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Apr 7th, 2010 - about 16 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 1881653947 NPPES
Minnesota MEDICAID 400615100
Minnesota Other 48027

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