Roberts, Jacob Aaron

Roberts, Jacob Aaron is an individual health care provider with primary practice located at 620 North Main , Harrison AR 72601-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Roberts, Jacob Aaron can be contacted via phone (870) 365-2000.

Contact Information

Primary practice address
620 North Main Harrison AR 72601-2926
Phone: (870) 365-2000
Fax: (360) 738-6377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP00002055 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-6639 Arkansas

Profile Details

NPI number 1265474472
LBN Legal business name Roberts, Jacob Aaron
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 17th, 2014 - about 12 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 1265474472 NPPES
Washington Other 1771RO BSWA
Washington MEDICAID 8448532 BSWA
Washington Other 0207213 BSWA
Washington Other 1153RO BSWA
Washington Other 0207212 BSWA
Washington Other 85490 BSWA

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