Rogers, Tracy Edward

Rogers, Tracy Edward is an individual health care provider with primary practice located at 202 Conway Dr Ste 200 , Kalispell MT 59901-3153. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Rogers, Tracy Edward can be contacted via phone (406) 751-4189.

Contact Information

Primary practice address
202 Conway Dr Ste 200 Kalispell MT 59901-3153
Phone: (406) 751-4189
Fax: (406) 751-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 441 Montana

Profile Details

NPI number 1245341874
LBN Legal business name Rogers, Tracy Edward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 11th, 2017 - about 9 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 1245341874 NPPES
Montana MEDICAID 4307613
Montana Other 000097043

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