Cordial, Roger

Cordial, Roger is an individual health care provider with primary practice located at 724 S Horner Blvd , Sanford NC 27330-4822. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Cordial, Roger can be contacted via phone (919) 776-6767.

Contact Information

Primary practice address
724 S Horner Blvd Sanford NC 27330-4822
Phone: (919) 776-6767
Fax: (919) 776-6773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102837 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102171 North Carolina

Profile Details

NPI number 1063402006
LBN Legal business name Cordial, Roger
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 5th, 2021 - about 4 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 1063402006 NPPES
Florida Other 34771 GROUP MEDICARE

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