Roberts, Craig W
Roberts, Craig W is an sole proprietor health care provider with primary practice located at 2260 N Roan St , Johnson City TN 37601-2527. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Roberts, Craig W can be contacted via phone (423) 262-9293.Contact Information
Primary practice address
2260 N Roan St
Johnson City TN 37601-2527
Phone: (423) 262-9293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 0000006275 | Tennessee |
Profile Details
| NPI number | 1184870768 |
|---|---|
| LBN Legal business name | Roberts, Craig W |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2008 |
| Last updated | Aug 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184870768 | NPPES |
| Tennessee | Other | 0000006275 | TN BOARD OF MASSAGE LICENSURE |
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