Rogers, Susan B

Rogers, Susan B is an individual health care provider with primary practice located at 399 W Campbell Rd #101, Richardson TX 75080-3595. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rogers, Susan B can be contacted via phone (972) 238-1848.

Contact Information

Primary practice address
399 W Campbell Rd #101 Richardson TX 75080-3595
Phone: (972) 238-1848
Fax: (972) 238-8735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G6004 Texas

Profile Details

NPI number 1629043179
LBN Legal business name Rogers, Susan B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Mar 10th, 2011 - about 14 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 1629043179 NPPES
Texas Other 4019553 AETNA NON-HMO
Texas MEDICAID 098426203 AETNA NON-HMO
Texas Other 080154026 AETNA NON-HMO
Texas Other 2266929 AETNA NON-HMO
Texas Other P00845040 AETNA NON-HMO
Texas Other 00FV75 AETNA NON-HMO

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