Rogers, Lisa R

Rogers, Lisa R is an individual health care provider with primary practice located at 2333 Biddle Ave , Wyandotte MI 48192-4668. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Rogers, Lisa R can be contacted via phone (313) 916-2723.

Contact Information

Primary practice address
2333 Biddle Ave Wyandotte MI 48192-4668
Phone: (313) 916-2723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 34.003427 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 5101011925 Michigan

Profile Details

NPI number 1124109251
LBN Legal business name Rogers, Lisa R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 19th, 2021 - about 4 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 1124109251 NPPES
Michigan MEDICAID 4850149
Michigan Other P00880297
Michigan MEDICAID 0569157

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