Rogers, David Wayne

Rogers, David Wayne is an individual health care provider with primary practice located at 15107 Vanowen St , Van Nuys CA 91405-4542. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Cytopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Rogers, David Wayne can be contacted via phone (818) 902-2961.

Contact Information

Primary practice address
15107 Vanowen St Van Nuys CA 91405-4542
Phone: (818) 902-2961
Fax: (818) 902-3903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G31138 California
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G31138 California

Profile Details

NPI number 1073560389
LBN Legal business name Rogers, David Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 9th, 2007 - about 18 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 1073560389 NPPES
California MEDICAID 00G311380

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