Roberts, Gary A

Roberts, Gary A is an individual health care provider with primary practice located at 2020 Sutter Pl #101, Davis CA 95616-6201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roberts, Gary A can be contacted via phone (530) 750-5830.

Contact Information

Primary practice address
2020 Sutter Pl #101 Davis CA 95616-6201
Phone: (530) 750-5830
Fax: (530) 750-5891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G52311 California

Profile Details

NPI number 1841381548
LBN Legal business name Roberts, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1841381548 NPPES
California MEDICAID 00G523110

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