Roebuck, Jeremy Christopher
Roebuck, Jeremy Christopher is an individual health care provider with primary practice located at 740 Hospital Dr Suite 300, Beaumont TX 77701-4664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Roebuck, Jeremy Christopher can be contacted via phone (409) 212-8111.Contact Information
Primary practice address
740 Hospital Dr Suite 300
Beaumont TX 77701-4664
Phone: (409) 212-8111
Fax: (409) 981-1787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | M3374 | Texas |
Profile Details
| NPI number | 1538103189 |
|---|---|
| LBN Legal business name | Roebuck, Jeremy Christopher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Aug 16th, 2022 - about 4 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 | 1538103189 | NPPES |
| Texas | MEDICAID | 187037001 |
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