Rogow, Mark Richard

Rogow, Mark Richard is an individual health care provider with primary practice located at 1506 W Chickasaw Ave , Sallisaw OK 74955-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rogow, Mark Richard can be contacted via phone (918) 776-0050.

Contact Information

Primary practice address
1506 W Chickasaw Ave Sallisaw OK 74955-7200
Fax: (918) 776-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 27009 Oklahoma

Profile Details

NPI number 1861444572
LBN Legal business name Rogow, Mark Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 15th, 2020 - 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 1861444572 NPPES
Oklahoma MEDICAID 200245750A

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