Jenkins, Roger Cain
Jenkins, Roger Cain is an sole proprietor health care provider with primary practice located at 172 E Merritt St Ste C , Prescott AZ 86301-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jenkins, Roger Cain can be contacted via phone (928) 717-0077.Contact Information
Primary practice address
172 E Merritt St Ste C
Prescott AZ 86301-2027
Phone: (928) 717-0077
Fax: (928) 717-0141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34543 | Arizona |
Profile Details
| NPI number | 1275506461 |
|---|---|
| LBN Legal business name | Jenkins, Roger Cain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Aug 19th, 2010 - about 14 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 | 1275506461 | NPPES |
| Arizona | MEDICAID | 986721 |
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