Rogers, Mark Brandon
Rogers, Mark Brandon is an individual health care provider with primary practice located at 3700 S Main St Suite A, Blacksburg VA 24060-7017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Rogers, Mark Brandon can be contacted via phone (540) 443-7180.Contact Information
Primary practice address
3700 S Main St Suite A
Blacksburg VA 24060-7017
Phone: (540) 443-7180
Fax: (540) 443-7182
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 0102201857 | Virginia |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 116912 | North Carolina |
Profile Details
NPI number | 1922127950 |
---|---|
LBN Legal business name | Rogers, Mark Brandon |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2007 |
Last updated | Feb 7th, 2014 - about 11 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 | 1922127950 | NPPES |
Virginia | Other | 309761 | ANTHEM |
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