Owen, Roger A

Owen, Roger A is an individual health care provider with primary practice located at 29 Ridgewood Rd The Pediatric Network, Springfield VT 05156-3050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Owen, Roger A can be contacted via phone (802) 885-5716.

Contact Information

Primary practice address
29 Ridgewood Rd The Pediatric Network Springfield VT 05156-3050
Phone: (802) 885-5716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0005683 Vermont

Profile Details

NPI number 1518981182
LBN Legal business name Owen, Roger A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1518981182 NPPES
Vermont MEDICAID 0004629
Vermont MEDICAID 30009000

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