Perry, Roger Ronald
Perry, Roger Ronald is an individual health care provider with primary practice located at 825 Fairfax Ave Suite 610, Norfolk VA 23507-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Perry, Roger Ronald can be contacted via phone (757) 446-8950.Contact Information
Primary practice address
825 Fairfax Ave Suite 610
Norfolk VA 23507-1914
Phone: (757) 446-8950
Fax: (757) 446-5197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101044062 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 0101044062 | Virginia |
Profile Details
| NPI number | 1720054778 |
|---|---|
| LBN Legal business name | Perry, Roger Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jan 27th, 2009 - about 16 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 | 1720054778 | NPPES |
| Virginia | Other | 053790 | ANTHEM FF |
| Virginia | Other | 15036 | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | 0554M | ANTHEM FF |
| Virginia | Other | 215383 | ANTHEM FF |
| Virginia | MEDICAID | 007327200 | ANTHEM FF |
| Virginia | Other | 307287 | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | -019 | ANTHEM FF |
| Virginia | MEDICAID | 890554M | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
| Virginia | Other | PAR | ANTHEM FF |
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