Gage, Roger Craig

Gage, Roger Craig is an sole proprietor health care provider with primary practice located at 9300 Dewitt Loop River Palvilon 2Nd Floor R2.102, Fort Belvoior VA 22060-0003. He recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as his primary health care specialty. Gage, Roger Craig can be contacted via phone (571) 231-1337.

Contact Information

Primary practice address
9300 Dewitt Loop River Palvilon 2Nd Floor R2.102 Fort Belvoior VA 22060-0003
Phone: (571) 231-1337
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 665 South Dakota

Profile Details

NPI number 1619035326
LBN Legal business name Gage, Roger Craig
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Sep 8th, 2011 - about 13 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 1619035326 NPPES
South Dakota MEDICAID 7602650

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