Roberts, Brook H.

Roberts, Brook H. is an sole proprietor health care provider with primary practice located at 629 S Plummer Ave , Chanute KS 66720. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Roberts, Brook H. can be contacted via phone (620) 431-4000.

Contact Information

Primary practice address
629 S Plummer Ave Chanute KS 66720
Phone: (620) 431-4000
Fax: (620) 431-7556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 557008 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 111346 Oklahoma

Profile Details

NPI number 1629375977
LBN Legal business name Roberts, Brook H.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2011
Last updated Aug 19th, 2018 - about 7 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 1629375977 NPPES
Missouri MEDICAID PENDING

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