Rogers, Wyatt

Rogers, Wyatt is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing Service Providers / Occupational Health. Nursing Service Providers / Occupational Health is his primary health care specialty. Rogers, Wyatt can be contacted via phone (907) 966-2411.

Contact Information

Primary practice address
222 Tongass Dr Sitka AK 99835-9416
Phone: (907) 966-2411
Fax: (907) 966-8383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Nursing Service Providers / Occupational Health 163WX0106X NURR38294 Alaska

Profile Details

NPI number 1073926390
LBN Legal business name Rogers, Wyatt
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2014
Last updated May 8th, 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 1073926390 NPPES
Alaska MEDICAID 1020986

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