Rogers, Jerry P

Rogers, Jerry P is an individual health care provider with primary practice located at 801 Belsly Blvd , Moorhead MN 56560-5055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rogers, Jerry P can be contacted via phone (701) 364-6800.

Contact Information

Primary practice address
801 Belsly Blvd Moorhead MN 56560-5055
Phone: (701) 364-6800
Fax: (701) 364-6828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25477 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4728 North Dakota

Profile Details

NPI number 1457381980
LBN Legal business name Rogers, Jerry P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 21st, 2011 - 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 1457381980 NPPES
Minnesota MEDICAID 14614
Minnesota Other 28527RO
Minnesota Other 6439
Minnesota Other 664582
Minnesota Other 0106001
Minnesota Other 1739
Minnesota Other DA9011015630
Minnesota Other 080039937
Minnesota Other 1739
Minnesota Other MN100035
Minnesota Other 122946
Minnesota Other 0108164
Minnesota Other HP19577
Minnesota Other 15959
Minnesota Other 0106002
Minnesota Other 27362RO
Minnesota Other 83D94RO
Minnesota MEDICAID 944307000

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