Provider Demographics
NPI:1235518119
Name:ROBERTS, RAMON STERLING
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:STERLING
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 FLATSWAY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2511
Mailing Address - Country:US
Mailing Address - Phone:225-253-6960
Mailing Address - Fax:225-636-2120
Practice Address - Street 1:510 FLATSWAY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2511
Practice Address - Country:US
Practice Address - Phone:225-253-6960
Practice Address - Fax:225-636-2120
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LANONE343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)