Rogers, Nicole Lynn

Rogers, Nicole Lynn is an individual health care provider with primary practice located at 3901 W 15Th St , Plano TX 75075-7738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Rogers, Nicole Lynn can be contacted via phone (972) 758-3598.

Contact Information

Primary practice address
3901 W 15Th St Plano TX 75075-7738
Phone: (972) 758-3598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K7556 Texas

Profile Details

NPI number 1487630893
LBN Legal business name Rogers, Nicole Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Aug 29th, 2011 - about 13 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 1487630893 NPPES
Texas MEDICAID 029711104
Texas Other 930128385
Texas MEDICAID 029711102
Texas Other 8F4447
Texas Other 930125954
Texas MEDICAID 029711103

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