Roberts, Jeffrey

Roberts, Jeffrey is an individual health care provider with primary practice located at 501 20Th St Suite 606, Knoxville TN 37916-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Roberts, Jeffrey can be contacted via phone (865) 546-8040.

Contact Information

Primary practice address
501 20Th St Suite 606 Knoxville TN 37916-1809
Phone: (865) 546-8040
Fax: (865) 541-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 19638 Tennessee

Profile Details

NPI number 1558352914
LBN Legal business name Roberts, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 27th, 2011 - about 15 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 1558352914 NPPES
Tennessee Other 100023463 PHP TENNCARE
Tennessee MEDICAID 3046535 PHP TENNCARE
Tennessee Other 4087760 PHP TENNCARE
Tennessee Other 4087760 PHP TENNCARE
Tennessee Other P00165594 PHP TENNCARE

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