Annis, Roger D

Annis, Roger D is an individual health care provider with primary practice located at 4378 W Holt Rd , Holt MI 48842-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Annis, Roger D can be contacted via phone (517) 694-1466.

Contact Information

Primary practice address
4378 W Holt Rd Holt MI 48842-1666
Fax: (517) 694-3530
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RA048224 Michigan

Profile Details

NPI number 1952350480
LBN Legal business name Annis, Roger D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 5th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952350480 NPPES
Other RA048224 BCBSM
Other RA048224 BCBSM
Other 0100237 BCBSM
MEDICAID 102805449 BCBSM
MEDICAID 0170237 BCBSM

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