Rogers, Larry Calvin
Rogers, Larry Calvin is an sole proprietor health care provider with primary practice located at 7 Memorial Drive , Petersburg WV 26847-0007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rogers, Larry Calvin can be contacted via phone (304) 257-4511.Contact Information
Primary practice address
7 Memorial Drive
Petersburg WV 26847-0007
Phone: (304) 257-4511
Fax: (304) 257-4511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10484 | West Virginia |
Profile Details
| NPI number | 1043395668 |
|---|---|
| LBN Legal business name | Rogers, Larry Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1043395668 | NPPES |
| West Virginia | MEDICAID | 0055759000 |
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