Roberts, Dudley
Roberts, Dudley is an sole proprietor health care provider with primary practice located at 18245 E 10 Mile Rd , Roseville MI 48066-5807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roberts, Dudley can be contacted via phone (586) 774-8710.Contact Information
Primary practice address
18245 E 10 Mile Rd
Roseville MI 48066-5807
Phone: (586) 774-8710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR051585 | Michigan |
Profile Details
| NPI number | 1922094507 |
|---|---|
| LBN Legal business name | Roberts, Dudley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Nov 1st, 2013 - about 13 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 | 1922094507 | NPPES |
| Michigan | Other | 110227501 | RRMR |
| Michigan | Other | 1105015902 | RRMR |
| Michigan | MEDICAID | 104715716 | RRMR |
| Michigan | Other | 383712316 | RRMR |
| Michigan | Other | P115806 | RRMR |
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