Grider, Roger Dean
Grider, Roger Dean is an individual health care provider with primary practice located at 120 E Adams St Ste 4, Lagrange KY 40031-1278. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grider, Roger Dean can be contacted via phone (502) 222-3281.Contact Information
Primary practice address
120 E Adams St Ste 4
Lagrange KY 40031-1278
Phone: (502) 222-3281
Fax: (502) 225-5796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 19015 | Kentucky |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 19015 | Kentucky |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 19015 | Kentucky |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 19015 | Kentucky |
Profile Details
| NPI number | 1538192364 |
|---|---|
| LBN Legal business name | Grider, Roger Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538192364 | NPPES |
| Kentucky | MEDICAID | 64190150 |
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