Rogers, Samuel

Rogers, Samuel is an individual health care provider with primary practice located at 2840 Electric Rd Ste 200 , Roanoke VA 24018-3551. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rogers, Samuel can be contacted via phone (540) 772-5153.

Contact Information

Primary practice address
2840 Electric Rd Ste 200 Roanoke VA 24018-3551
Phone: (540) 772-5153
Fax: (540) 772-5158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001141 Virginia

Profile Details

NPI number 1467424895
LBN Legal business name Rogers, Samuel
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 19th, 2019 - about 5 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 1467424895 NPPES
Virginia MEDICAID 010279569

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