Roberts, William Michael

Roberts, William Michael is an sole proprietor health care provider with primary practice located at 4099 Gateway Blvd , Newburgh IN 47630-8947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Roberts, William Michael can be contacted via phone (812) 491-1307.

Contact Information

Primary practice address
4099 Gateway Blvd Newburgh IN 47630-8947
Phone: (812) 491-1307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01051657A Indiana

Profile Details

NPI number 1336138650
LBN Legal business name Roberts, William Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jan 26th, 2021 - about 4 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 1336138650 NPPES
Indiana Other 000000501009 BCBS - DEACONESS GATEWAY
Indiana MEDICAID 200026050 BCBS - DEACONESS GATEWAY
Indiana Other 000000197943 BCBS - DEACONESS GATEWAY
Indiana MEDICAID 405981960 PYE1 BCBS - DEACONESS GATEWAY
Indiana Other P00272899 BCBS - DEACONESS GATEWAY
Indiana MEDICAID 64041361 BCBS - DEACONESS GATEWAY
Indiana Other 000000197004 BCBS - DEACONESS GATEWAY

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