Rogers, Barry L

Rogers, Barry L is an individual health care provider with primary practice located at 225 Memorial Dr Ste 2000, Berlin WI 54923-1243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rogers, Barry L can be contacted via phone (920) 361-5340.

Contact Information

Primary practice address
225 Memorial Dr Ste 2000 Berlin WI 54923-1243
Fax: (920) 361-5335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24248 Wisconsin

Profile Details

NPI number 1003893371
LBN Legal business name Rogers, Barry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 24th, 2014 - about 10 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 1003893371 NPPES
Wisconsin MEDICAID 30416700

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