Rodgers, Charles W

Rodgers, Charles W is an sole proprietor health care provider with primary practice located at 607 East Washington , Riverton WY 82501. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rodgers, Charles W can be contacted via phone (307) 856-1333.

Contact Information

Primary practice address
607 East Washington Riverton WY 82501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 58 Wyoming

Profile Details

NPI number 1265683155
LBN Legal business name Rodgers, Charles W
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2008
Last updated Nov 2nd, 2008 - 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 1265683155 NPPES
Wyoming MEDICAID 119106301

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