Rogers, Robert

Rogers, Robert is an individual health care provider with primary practice located at 105 W Stone Dr Suite 4A, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rogers, Robert can be contacted via phone (423) 392-6265.

Contact Information

Primary practice address
105 W Stone Dr Suite 4A Kingsport TN 37660-3256
Phone: (423) 392-6265
Fax: (423) 392-6272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD 23700 Tennessee

Profile Details

NPI number 1609870542
LBN Legal business name Rogers, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 2nd, 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 1609870542 NPPES
Virginia MEDICAID 7376511
Virginia MEDICAID 3069817

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