Robles, Bertha Izaura

Robles, Bertha Izaura is an individual health care provider with primary practice located at 205 Hospital Dr Ste A , Mc Kenzie TN 38201-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Robles, Bertha Izaura can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1621 Tennessee

Profile Details

NPI number 1144483090
LBN Legal business name Robles, Bertha Izaura
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Mar 17th, 2018 - about 7 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 1144483090 NPPES
Other 3380640 MEDICAID GROUP
MEDICAID 1507308 MEDICAID GROUP
Other PA1621 MEDICAID GROUP

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