Individual
DR. PATRICK J ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
280 E MAIN ST, 111, NEWARK, DE 19711-7333
(302) 737-8667
(302) 737-8667
Mailing address
280 E MAIN ST STE 111, NEWARK, DE 19711-7324
(302) 737-8667
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC005512L
PA
111N00000X
Chiropractor
Primary
F1-000368
DE
111N00000X
Chiropractor
X007753-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0680077
AETNA
DE
01
—
257136
MAMSI
—
01
—
348735
AMERIHEALTH
DE
01
—
NE 348735
PA BLUE SHIELD
PA
Enumeration date
09/21/2006
Last updated
10/06/2011
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