Robertson, Gerald
Robertson, Gerald is an individual health care provider with primary practice located at Rehoboth Mckinley Christian Health Care Services 2111 College Drive, Gallup NM 87301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Robertson, Gerald can be contacted via phone (505) 863-1820.Contact Information
Primary practice address
Rehoboth Mckinley Christian Health Care Services 2111 College Drive
Gallup NM 87301
Phone: (505) 863-1820
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 72-73 | New Mexico |
Profile Details
| NPI number | 1831161082 |
|---|---|
| LBN Legal business name | Robertson, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1831161082 | NPPES |
| Other | 85031326887301A017 | CHAMPUS | |
| Other | 10002106 | CHAMPUS | |
| Other | NM002282 | CHAMPUS | |
| MEDICAID | 09431 | CHAMPUS | |
| Other | PROVP15197 | CHAMPUS | |
| MEDICAID | 228727 | CHAMPUS |
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