Mann, Roger Charles

Mann, Roger Charles is an individual health care provider with primary practice located at 1619 N Greenwood St Suite 208, Pueblo CO 81003-2644. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mann, Roger Charles can be contacted via phone (719) 561-4336.

Contact Information

Primary practice address
1619 N Greenwood St Suite 208 Pueblo CO 81003-2644
Phone: (719) 561-4336
Fax: (719) 561-8469
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 31281 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 31281 Colorado

Profile Details

NPI number 1568441269
LBN Legal business name Mann, Roger Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 31st, 2019 - about 6 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 1568441269 NPPES
Colorado MEDICAID 01312818

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