Rodgers, Scott

Rodgers, Scott is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Rodgers, Scott can be contacted via phone (601) 984-5815.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5815
Fax: (601) 984-5842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD34424 Tennessee
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 23594 Mississippi

Profile Details

NPI number 1548357643
LBN Legal business name Rodgers, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Mar 2nd, 2015 - about 9 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 1548357643 NPPES
Mississippi MEDICAID 04385578

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