Roberson, Jill R.
Roberson, Jill R. is an sole proprietor health care provider with primary practice located at 135 Turner St , Southern Pines NC 28387-7054. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Roberson, Jill R. can be contacted via phone (910) 246-2229.Contact Information
Primary practice address
135 Turner St
Southern Pines NC 28387-7054
Phone: (910) 246-2229
Fax: (910) 246-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 37933 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37933 | North Carolina |
Profile Details
| NPI number | 1447213053 |
|---|---|
| LBN Legal business name | Roberson, Jill R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Apr 8th, 2025 - about last year |
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 | 1447213053 | NPPES |
| North Carolina | Other | 129TK | BCBS |
| North Carolina | MEDICAID | 89-129TK | BCBS |
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