Roberts, Gregory L
Roberts, Gregory L is an individual health care provider with primary practice located at 219 Grant Utely Ave Nw , Cass Lake MN 56633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roberts, Gregory L can be contacted via phone (218) 335-2559.Contact Information
Primary practice address
219 Grant Utely Ave Nw
Cass Lake MN 56633
Phone: (218) 335-2559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30341 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36046 | Minnesota |
Profile Details
| NPI number | 1699709592 |
|---|---|
| LBN Legal business name | Roberts, Gregory L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 29th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699709592 | NPPES |
| Colorado | Other | 080060522 | RAIL ROAD MEDICARE |
| Colorado | MEDICAID | 01303411 | RAIL ROAD MEDICARE |
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