Roberts, Chad

Roberts, Chad is an individual health care provider with primary practice located at 50 Town Ct , Palm Coast FL 32164-2589. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Roberts, Chad can be contacted via phone (386) 313-5974.

Contact Information

Primary practice address
50 Town Ct Palm Coast FL 32164-2589
Phone: (386) 313-5974
Fax: (866) 647-2045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT007632 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19497 Florida

Profile Details

NPI number 1326098690
LBN Legal business name Roberts, Chad
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 4th, 2014 - about 12 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 1326098690 NPPES
Georgia MEDICAID 975142262A
Georgia MEDICAID 975142262C
Georgia Other P00316287

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