Roberts, Van Gregory

Roberts, Van Gregory is an individual health care provider with primary practice located at 8202 S Access Rd Bldg 946 , Columbus OH 43217-5903. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roberts, Van Gregory can be contacted via phone (614) 989-1213.

Contact Information

Primary practice address
8202 S Access Rd Bldg 946 Columbus OH 43217-5903
Phone: (614) 989-1213
Fax: (614) 336-6635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002763 Ohio

Profile Details

NPI number 1063402394
LBN Legal business name Roberts, Van Gregory
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063402394 NPPES
Ohio Other 002763 OHIO LICENSE

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