Roberts, Patricia Ann
Roberts, Patricia Ann is an individual health care provider with primary practice located at 106 Longview Dr , Los Alamos NM 87544-3738. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Roberts, Patricia Ann can be contacted via phone (505) 672-1336.Contact Information
Primary practice address
106 Longview Dr
Los Alamos NM 87544-3738
Phone: (505) 672-1336
Fax: (505) 672-0840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD1209 | New Mexico |
Profile Details
| NPI number | 1093706707 |
|---|---|
| LBN Legal business name | Roberts, Patricia Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| 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 | 1093706707 | NPPES |
| New Mexico | MEDICAID | R9365 | |
| New Mexico | MEDICAID | 4552 |
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