Roberts, Jesse Q

Roberts, Jesse Q is an individual health care provider with primary practice located at 49 Spring St 1St Floor, Scarborough ME 04074-8926. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roberts, Jesse Q can be contacted via phone (207) 828-2100.

Contact Information

Primary practice address
49 Spring St 1St Floor Scarborough ME 04074-8926
Phone: (207) 828-2100
Fax: (207) 828-2190
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Maine

Profile Details

NPI number 1558529776
LBN Legal business name Roberts, Jesse Q
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2008
Last updated Jan 26th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558529776 NPPES
New Hampshire MEDICAID 30338125

Popular Providers