Rogerson, David R

Rogerson, David R is an individual health care provider with primary practice located at 348 Budfield Street , Johnstown PA 15904-3214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Rogerson, David R can be contacted via phone (814) 262-3950.

Contact Information

Primary practice address
348 Budfield Street Johnstown PA 15904-3214
Fax: (814) 262-3990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X MD016845E Pennsylvania

Profile Details

NPI number 1902816630
LBN Legal business name Rogerson, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 1st, 2009 - about 16 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 1902816630 NPPES
Pennsylvania MEDICAID 0007090960003

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