Rogers, Russell

Rogers, Russell is an sole proprietor health care provider with primary practice located at 115 Falls Ave W , Twin Falls ID 83301-3115. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Rogers, Russell can be contacted via phone (208) 733-1662.

Contact Information

Primary practice address
115 Falls Ave W Twin Falls ID 83301-3115
Phone: (208) 733-1662
Fax: (208) 733-9463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA-01284 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55818 Idaho

Profile Details

NPI number 1922438233
LBN Legal business name Rogers, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2013
Last updated Mar 17th, 2018 - about 7 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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