Robertson, Thomas J

Robertson, Thomas J is an individual health care provider with primary practice located at 450 Jones Rd , Rocky Mount NC 27804-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Robertson, Thomas J can be contacted via phone (252) 443-1006.

Contact Information

Primary practice address
450 Jones Rd Rocky Mount NC 27804-8207
Phone: (252) 443-1006
Fax: (252) 937-8366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101044852 Virginia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9800130 North Carolina

Profile Details

NPI number 1154382612
LBN Legal business name Robertson, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 11th, 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 1154382612 NPPES
North Carolina Other 1104R BCBS
North Carolina MEDICAID 891104R BCBS

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