Robertson, Theresa Elizabeth
Robertson, Theresa Elizabeth is an individual health care provider with primary practice located at 4320 Wornall Rd Ste 530 , Kansas City MO 64111-5942. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Robertson, Theresa Elizabeth can be contacted via phone (816) 932-7900.Contact Information
Primary practice address
4320 Wornall Rd Ste 530
Kansas City MO 64111-5942
Phone: (816) 932-7900
Fax: (816) 932-9868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22642 | Mississippi |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | U6795 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 39735 | Oklahoma |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | U6795 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | U6795 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 2004031001 | Missouri |
Profile Details
| NPI number | 1215019518 |
|---|---|
| LBN Legal business name | Robertson, Theresa Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Nov 15th, 2023 - about 3 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 | 1215019518 | NPPES |
| Mississippi | MEDICAID | 08220715 | |
| Mississippi | MEDICAID | 201078750A | |
| Mississippi | MEDICAID | 2407015 |
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