Rodgers, Pamela Michelle

Rodgers, Pamela Michelle is an sole proprietor health care provider with primary practice located at 1485 Chester Blvd Reid Pediatric & Internal Medicine, Richmond IN 47374-1919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rodgers, Pamela Michelle can be contacted via phone (765) 966-5527.

Contact Information

Primary practice address
1485 Chester Blvd Reid Pediatric & Internal Medicine Richmond IN 47374-1919
Phone: (765) 966-5527
Fax: (765) 966-5528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002527A Indiana

Profile Details

NPI number 1336336882
LBN Legal business name Rodgers, Pamela Michelle
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2007
Last updated May 18th, 2021 - about 3 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 1336336882 NPPES
Indiana MEDICAID 200877930
Indiana Other 000000855986
Indiana MEDICAID 0100846

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