Rogers, Antonia Lynn

Rogers, Antonia Lynn is an individual health care provider with primary practice located at 7777 Milliken Ave Ste 110 , Rancho Cucamonga CA 91730-6781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rogers, Antonia Lynn can be contacted via phone (909) 948-7590.

Contact Information

Primary practice address
7777 Milliken Ave Ste 110 Rancho Cucamonga CA 91730-6781
Phone: (909) 948-7590
Fax: (909) 948-7290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15561 California

Profile Details

NPI number 1043400419
LBN Legal business name Rogers, Antonia Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Sep 23rd, 2013 - about 12 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 1043400419 NPPES
California Other PA15561 STATE LICENSE

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