Roberts, Gerard S

Roberts, Gerard S is an individual health care provider with primary practice located at 710 Franklin St Suite 200, Michigan City IN 46360-3563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roberts, Gerard S can be contacted via phone (219) 872-6200.

Contact Information

Primary practice address
710 Franklin St Suite 200 Michigan City IN 46360-3563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01054761A Indiana

Profile Details

NPI number 1922088285
LBN Legal business name Roberts, Gerard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Apr 30th, 2017 - about 4 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 1922088285 NPPES
Indiana MEDICAID 200337400
Indiana Other 000000591038

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