Roberts, Craig S
Roberts, Craig S is an individual health care provider with primary practice located at 530 S Jackson St , Louisville KY 40202-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Roberts, Craig S can be contacted via phone (502) 584-7525.Contact Information
Primary practice address
530 S Jackson St
Louisville KY 40202-1675
Phone: (502) 584-7525
Fax: (502) 589-0849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 27746 | Kentucky |
Profile Details
| NPI number | 1720007115 |
|---|---|
| LBN Legal business name | Roberts, Craig S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 22nd, 2016 - about 9 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 | 1720007115 | NPPES |
| Indiana | MEDICAID | 100370290 | |
| Indiana | Other | 000000049344 | |
| Indiana | Other | 1049641 | |
| Indiana | MEDICAID | 64277460 |
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