Robertson, John

Robertson, John is an individual health care provider with primary practice located at 3577 W 13 Mile Rd , Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Robertson, John can be contacted via phone (248) 551-5490.

Contact Information

Primary practice address
3577 W 13 Mile Rd Royal Oak MI 48073-6710
Fax: (248) 551-0089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301405966 Michigan

Profile Details

NPI number 1942261086
LBN Legal business name Robertson, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 23rd, 2020 - about 6 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 1942261086 NPPES
Michigan MEDICAID 3229649
Michigan Other 320F362430

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