Roberts, Jerry D
Roberts, Jerry D is an individual health care provider with primary practice located at 205 N Tracy Ave , Bozeman MT 59715-3564. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Roberts, Jerry D can be contacted via phone (406) 587-2218.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 537 | Montana |
Profile Details
| NPI number | 1336274240 |
|---|---|
| LBN Legal business name | Roberts, Jerry D |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1336274240 | NPPES |
| Montana | MEDICAID | 3401489 |
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