Roberts, Carl Ray
Roberts, Carl Ray is an sole proprietor health care provider with primary practice located at 1856 E Innovation Park Dr , Oro Valley AZ 85755-1963. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Roberts, Carl Ray can be contacted via phone (520) 825-7111.Contact Information
Primary practice address
1856 E Innovation Park Dr
Oro Valley AZ 85755-1963
Phone: (520) 825-7111
Fax: (520) 818-1253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25852 | Arizona |
Profile Details
| NPI number | 1770582207 |
|---|---|
| LBN Legal business name | Roberts, Carl Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 13th, 2015 - about 10 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 | 1770582207 | NPPES |
| Arizona | MEDICAID | 400648003 |
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