Rogers, Jena Sue

Rogers, Jena Sue is an individual health care provider with primary practice located at 1201 E Ross Bypass Road , Tahlequah OK 74464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rogers, Jena Sue can be contacted via phone (918) 207-0991.

Contact Information

Primary practice address
1201 E Ross Bypass Road Tahlequah OK 74464
Fax: (918) 456-7570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19512 Oklahoma

Profile Details

NPI number 1831167139
LBN Legal business name Rogers, Jena Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 12th, 2010 - about 14 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 1831167139 NPPES
Oklahoma MEDICAID 100255330A

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