Roberts, Roger

Roberts, Roger is an individual health care provider with primary practice located at 300 E Boyd Ave Ste 250 , Greenfield IN 46140-2845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roberts, Roger can be contacted via phone (317) 467-4500.

Contact Information

Primary practice address
300 E Boyd Ave Ste 250 Greenfield IN 46140-2845
Phone: (317) 467-4500
Fax: (317) 477-6321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01040512A Indiana

Profile Details

NPI number 1871595389
LBN Legal business name Roberts, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 11th, 2010 - about 16 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 1871595389 NPPES
Indiana MEDICAID 200002460
Indiana Other 200311740E
Indiana Other 370018016
Indiana Other 4561963
Indiana Other 000000112502

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