CHARLES EUGENE ROBERTS IV
NPI 1043834278
Peer Specialist in Bellefontaine, OH
- Individual
- Male
- Peer Specialist
About CHARLES ROBERTS
This page provides the complete NPI Profile along with additional information for Charles Roberts, a provider established in Bellefontaine, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1043834278 assigned on June 2020. The practitioner's primary taxonomy code is 175T00000X with license number 000870 (OH). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1043834278 Verify this NPI
- Provider Name
- CHARLES EUGENE ROBERTS IV
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 547 E COLUMBUS AVE BELLEFONTAINE, OH 43311
- Location Phone
- (937) 210-6818
- Mailing Address
- 547 E COLUMBUS AVE BELLEFONTAINE, OH 43311
- Mailing Phone
- (937) 210-6818
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-03-2020
- Last Update Date
- 06-03-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 000870
- License State
- OH
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043834278, enumerated as an "individual" on June 03, 2020.
The provider is located at 547 E COLUMBUS AVE BELLEFONTAINE, OH 43311 and the phone number is (937) 210-6818.
Peer Specialist with taxonomy code 175T00000X.
