Bangs, Roger Guy

Bangs, Roger Guy is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bangs, Roger Guy can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
5177 Mccarty Ln Lafayette IN 47905-8764
Fax: (765) 448-8027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01039163A Indiana

Profile Details

NPI number 1811965049
LBN Legal business name Bangs, Roger Guy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 2nd, 2020 - about 5 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 1811965049 NPPES
Indiana Other 000000191064 ANTHEM PROVIDER NUMBER
Indiana Other 10824741 ANTHEM PROVIDER NUMBER
Indiana Other 9008271 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100232880 ANTHEM PROVIDER NUMBER

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