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Contact Information

ALVIS L ROBERTSON
3850 N. 16TH ST. E. BELTLINE RD.
LAVEEN VILLAGE, AZ85339
 Phone: 520-796-3860
 Fax: 520-796-3801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for ALVIS L ROBERTSON · (Male)

NPI # 1164074282
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2019
Last updated 07/09/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 11595
Hospital affiliation(s) Not Available
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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