Rogers, Jerry B

Rogers, Jerry B is an individual health care provider with primary practice located at One Hospital Drive , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rogers, Jerry B can be contacted via phone (573) 882-1647.

Contact Information

Primary practice address
One Hospital Drive Columbia MO 65212-0001
Phone: (573) 882-1647
Fax: (573) 884-6024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 107973 Missouri

Profile Details

NPI number 1639116361
LBN Legal business name Rogers, Jerry B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Apr 25th, 2012 - about 13 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 1639116361 NPPES
Missouri Other P00106646 RR MEDICARE
Missouri Other P00419174 RR MEDICARE
Missouri MEDICAID 208049916 RR MEDICARE

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