Roge, Carol L
Roge, Carol L is an individual health care provider with primary practice located at 4230 Hamilton Blvd , Sioux City IA 51104-1137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Roge, Carol L can be contacted via phone (712) 239-4900.Contact Information
Primary practice address
4230 Hamilton Blvd
Sioux City IA 51104-1137
Phone: (712) 239-4900
Fax: (712) 239-2866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24959 | Iowa |
Profile Details
| NPI number | 1295794402 |
|---|---|
| LBN Legal business name | Roge, Carol L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 7th, 2011 - about 13 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 | 1295794402 | NPPES |
| Iowa | Other | 47516 | WELLMARK BCBS |
| Iowa | Other | 20082 | WELLMARK BCBS |
| Iowa | MEDICAID | 5609423 | WELLMARK BCBS |
| Iowa | Other | 75305796351104A002 | WELLMARK BCBS |
| Iowa | Other | 9182435 | WELLMARK BCBS |
| Iowa | MEDICAID | 75305796312 | WELLMARK BCBS |
| Iowa | MEDICAID | 1027201 | WELLMARK BCBS |
| Iowa | Other | 3879 | WELLMARK BCBS |
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