Roberts, Jeffrey

Roberts, Jeffrey is an individual health care provider with primary practice located at 400 N Pepper Ave Dept. Surgery Modular # 3, Colton CA 92324-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Roberts, Jeffrey can be contacted via phone (909) 580-6210.

Contact Information

Primary practice address
400 N Pepper Ave Dept. Surgery Modular # 3 Colton CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G700620 California

Profile Details

NPI number 1225145915
LBN Legal business name Roberts, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225145915 NPPES
California Other ZZZ13858Z MEDICARE GROUP
California MEDICAID GR0079700 MEDICARE GROUP

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