Soares, Robert L

Soares, Robert L is an individual health care provider with primary practice located at 500 Sentara Cir Ste 202 , Williamsburg VA 23188-5727. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Soares, Robert L can be contacted via phone (757) 984-9850.

Contact Information

Primary practice address
500 Sentara Cir Ste 202 Williamsburg VA 23188-5727
Phone: (757) 984-9850
Fax: (757) 345-6643
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20486 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101263340 Virginia

Profile Details

NPI number 1760430664
LBN Legal business name Soares, Robert L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 10th, 2020 - about 6 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 1760430664 NPPES
South Carolina MEDICAID 204861

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