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
Fax: (540) 443-7182
Website:

Health care specialties

SpecialtyCodeLicense #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 10 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 1922127950 NPPES
Virginia Other 309761 ANTHEM

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