Roberts, Dale M.
Roberts, Dale M. is an sole proprietor health care provider with primary practice located at 201 Abraham Flexner Way Suite 1105, Louisville KY 40202-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Roberts, Dale M. can be contacted via phone (502) 581-9223.Contact Information
Primary practice address
201 Abraham Flexner Way Suite 1105
Louisville KY 40202-3841
Phone: (502) 581-9223
Fax: (502) 581-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 22615 | Kentucky |
Profile Details
| NPI number | 1053360370 |
|---|---|
| LBN Legal business name | Roberts, Dale M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2006 |
| Last updated | Oct 2nd, 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 | 1053360370 | NPPES |
| Indiana | MEDICAID | 100009950 | |
| Indiana | Other | 000000043697 | |
| Indiana | MEDICAID | 64226152 |
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