Roberts, Michael W
Roberts, Michael W is an sole proprietor health care provider with primary practice located at 4201 Saint Antoine St Ste. 6B, Detroit MI 48201-2153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Roberts, Michael W can be contacted via phone (313) 966-2609.Contact Information
Primary practice address
4201 Saint Antoine St Ste. 6B
Detroit MI 48201-2153
Phone: (313) 966-2609
Fax: (313) 745-4298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101011614 | Michigan |
Profile Details
| NPI number | 1922084938 |
|---|---|
| LBN Legal business name | Roberts, Michael W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Dec 3rd, 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 | 1922084938 | NPPES |
| Michigan | MEDICAID | 4462390 | |
| Michigan | MEDICAID | 3435647 |
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