Rogers, Kerry Jeanne
Rogers, Kerry Jeanne is an sole proprietor health care provider with primary practice located at 2222 Bancroft Ext , Berkeley CA 94720-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rogers, Kerry Jeanne can be contacted via phone (510) 642-2000.Contact Information
Primary practice address
2222 Bancroft Ext
Berkeley CA 94720-4303
Phone: (510) 642-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 262915 | California |
Profile Details
| NPI number | 1588734859 |
|---|---|
| LBN Legal business name | Rogers, Kerry Jeanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588734859 | NPPES |
| California | Other | 5428 | NP FURNISHING NUMBER |
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