Roberts, Susan
Roberts, Susan is an individual health care provider with primary practice located at 2050A 2Nd St Se , Kirtland Afb NM 87117-5522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roberts, Susan can be contacted via phone (505) 846-3200.Contact Information
Primary practice address
2050A 2Nd St Se
Kirtland Afb NM 87117-5522
Phone: (505) 846-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K2574 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A-1723-13 | New Mexico |
Profile Details
| NPI number | 1437158896 |
|---|---|
| LBN Legal business name | Roberts, Susan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 7th, 2021 - about 5 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 | 1437158896 | NPPES |
| Texas | MEDICAID | 153862101 | |
| Texas | MEDICAID | 00002166 |
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