Leonard J. Roberts in Philadelphia - Sports Physician

Leonard J. Roberts - NPI 1588627798

Leonard J. Roberts is a Sports Physician in Philadelphia, Pennsylvania. Leonard J. Roberts practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Leonard J. Roberts is 1588627798. The last update date is 2010-06-25.

Leonard J. Roberts's current location address is 8151 Ridge Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154872500 and fax number 2154877463. The mailing address for Leonard J. Roberts is 8151 Ridge Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Leonard J. Roberts
Address 8151 Ridge Ave, Philadelphia, Pennsylvania
Phone Number 2154872500
Fax Number 2154877463
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1588627798
Provider Enumeration Date 2006-04-10
Last Updated Date 2010-06-25

Provider Mailing Address Detail

Address 8151 Ridge Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191282902
Phone Number 2154872500
Fax Number 2154877463

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No DC008037L
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
906443 PA HIGHMARK BS PROVIDER#
856152000 PA IBC/KEYSTONE- PROVIDER#
2671626 PA AETNA PROVIDER#

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FAQs about Leonard J. Roberts

What is the Leonard J. Roberts's 1588627798?

The Leonard J. Roberts's NPI (National Provider Identifier) Number is 1588627798. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Leonard J. Roberts?

The Leonard J. Roberts is physically situated at 8151 Ridge Ave, in the city of Philadelphia, state of PA, with the postal code 191282902.

What is Leonard J. Roberts's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Leonard J. Roberts is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did Leonard J. Roberts receive its 1588627798 assignment from the Centers for Medicare & Medicaid Services?

The Leonard J. Roberts was assigned its 1588627798 on 2006-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Leonard J. Roberts's information last updated?

The Leonard J. Roberts's information was last updated on 2010-06-25.

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