Robertson, Thessa Grace

Robertson, Thessa Grace is an individual health care provider with primary practice located at 600 Grant Street , Gary IN 46402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Robertson, Thessa Grace can be contacted via phone (219) 886-4601.

Contact Information

Primary practice address
600 Grant Street Gary IN 46402
Fax: (219) 886-4603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01061982A Indiana

Profile Details

NPI number 1851332514
LBN Legal business name Robertson, Thessa Grace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 8th, 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 1851332514 NPPES
Illinois MEDICAID 036113290

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