Rogers, Corey A

Rogers, Corey A is an individual health care provider with primary practice located at 7550 West Village Circle Suite 1, Wichita KS 67205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rogers, Corey A can be contacted via phone (316) 838-2020.

Contact Information

Primary practice address
7550 West Village Circle Suite 1 Wichita KS 67205
Fax: (316) 838-7574
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00753 Kansas

Profile Details

NPI number 1376523803
LBN Legal business name Rogers, Corey A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 19th, 2009 - about 15 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 1376523803 NPPES
Kansas MEDICAID 100372330B

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