Cagle, Roger Earl

Cagle, Roger Earl is an sole proprietor health care provider with primary practice located at 2700 W Kingshighway Ste 4 , Paragould AR 72450-2637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cagle, Roger Earl can be contacted via phone (870) 239-3600.

Contact Information

Primary practice address
2700 W Kingshighway Ste 4 Paragould AR 72450-2637
Fax: (870) 240-0643
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-5380 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2002014383 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F-4777 Texas

Profile Details

NPI number 1134282999
LBN Legal business name Cagle, Roger Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Aug 17th, 2010 - about 15 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 1134282999 NPPES
Arkansas MEDICAID 102577001
Arkansas MEDICAID 201552858

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