Rogers, Carol M

Rogers, Carol M is an individual health care provider with primary practice located at 30 Harrison St Suite 100, Johnson City NY 13790-2161. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rogers, Carol M can be contacted via phone (607) 763-6850.

Contact Information

Primary practice address
30 Harrison St Suite 100 Johnson City NY 13790-2161
Phone: (607) 763-6850
Fax: (607) 763-6703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3700121 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F3301131 New York

Profile Details

NPI number 1790774354
LBN Legal business name Rogers, Carol M
Credentials CONP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 8th, 2007 - about 17 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 1790774354 NPPES
New York MEDICAID 02204277

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