Roberts, Bevely

Roberts, Bevely is an individual health care provider with primary practice located at 6071 W Outer Dr , Detroit MI 48235-2624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Roberts, Bevely can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
6071 W Outer Dr Detroit MI 48235-2624
Phone: (952) 442-9770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704081169 Michigan

Profile Details

NPI number 1346201399
LBN Legal business name Roberts, Bevely
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 22nd, 2008 - about 18 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 1346201399 NPPES
Maine Other BR81169 BLUE CROSS OF MI
Maine MEDICAID 104300838 BLUE CROSS OF MI

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