Roberts, Rebecca L

Roberts, Rebecca L is an individual health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Roberts, Rebecca L can be contacted via phone (816) 561-1025.

Contact Information

Primary practice address
5325 Faraon St Saint Joseph MO 64506-3488
Phone: (816) 561-1025
Fax: (816) 561-3819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R1F97 Missouri

Profile Details

NPI number 1447289178
LBN Legal business name Roberts, Rebecca L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 26th, 2017 - about 9 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 1447289178 NPPES
Missouri MEDICAID 242187821
Missouri MEDICAID 100231990A

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