Rogers, Marcia M

Rogers, Marcia M is an sole proprietor health care provider with primary practice located at 7382 Kirkwood Ct , Maple Grove MN 55369-5270. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rogers, Marcia M can be contacted via phone (763) 424-3704.

Contact Information

Primary practice address
7382 Kirkwood Ct Maple Grove MN 55369-5270
Fax: (763) 424-8315
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP33691 Minnesota

Profile Details

NPI number 1942223714
LBN Legal business name Rogers, Marcia M
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942223714 NPPES
Minnesota Other 126912 UBH
Minnesota Other 360G0M1 UBH

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