Garrett, Rodger Kenneth
Garrett, Rodger Kenneth is an individual health care provider with primary practice located at 4901 Market Place Rd , Pensacola FL 32504-8986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Garrett, Rodger Kenneth can be contacted via phone (855) 527-7246.Contact Information
Primary practice address
4901 Market Place Rd
Pensacola FL 32504-8986
Phone: (855) 527-7246
Fax: (833) 810-1165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME78069 | Florida |
Profile Details
NPI number | 1679560536 |
---|---|
LBN Legal business name | Garrett, Rodger Kenneth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2005 |
Last updated | Aug 6th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679560536 | NPPES |
Florida | MEDICAID | 257491800 | |
Florida | Other | 46797 |
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