Rogers, Russell William
Rogers, Russell William is an individual health care provider with primary practice located at 12 S 8Th St , Yakima WA 98901-3020. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rogers, Russell William can be contacted via phone (509) 454-4143.Contact Information
Primary practice address
12 S 8Th St
Yakima WA 98901-3020
Phone: (509) 454-4143
Fax: (509) 454-3651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE60035251 | Washington |
Profile Details
| NPI number | 1699921429 |
|---|---|
| LBN Legal business name | Rogers, Russell William |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Nov 23rd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699921429 | NPPES |
| Washington | MEDICAID | 5057492 |
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