Rogers, Sundance L

Rogers, Sundance L is an individual health care provider with primary practice located at 1344 Wintergreen Ln Ne , Bainbridge Island WA 98110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rogers, Sundance L can be contacted via phone (206) 842-5632.

Contact Information

Primary practice address
1344 Wintergreen Ln Ne Bainbridge Island WA 98110
Phone: (206) 842-5632
Fax: (206) 842-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00033047 Washington

Profile Details

NPI number 1972696912
LBN Legal business name Rogers, Sundance L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 2nd, 2018 - about 6 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 1972696912 NPPES
Washington Other 6701RO BLUE SHIELD #
Washington MEDICAID 8192486 BLUE SHIELD #
Washington Other US0900037 BLUE SHIELD #
Washington Other 0039581 BLUE SHIELD #
Washington Other US0819159 BLUE SHIELD #
Washington Other 110217394 BLUE SHIELD #

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