Roberts, Gavin
Roberts, Gavin is an individual health care provider with primary practice located at 702 Barnhill Dr , Indianapolis IN 46202-5128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Roberts, Gavin can be contacted via phone (317) 274-8103.Contact Information
Primary practice address
702 Barnhill Dr
Indianapolis IN 46202-5128
Phone: (317) 274-8103
Fax: (317) 274-1111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01043662A | Indiana |
Profile Details
| NPI number | 1477555035 |
|---|---|
| LBN Legal business name | Roberts, Gavin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 6th, 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 | 1477555035 | NPPES |
| Indiana | MEDICAID | 200112290 |
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