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Contact Information

JERRI D ROBERTSON, DO
3460 S CLARK ST
MEXICO, MO65265-4124
 Phone: 573-581-9630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JERRI D ROBERTSON · (Female)

NPI # 1407070816
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/13/2007
Last updated 10/15/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2006018426
Hospital affiliation(s)
  • BOTHWELL REGIONAL HEALTH CENTER - (Acute Care)
    601 E 14TH ST
    SEDALIA, MO 65302
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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