Smalligan, Roger D

Smalligan, Roger D is an individual health care provider with primary practice located at 301 Governors Dr Sw , Huntsville AL 35801-5123. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Smalligan, Roger D can be contacted via phone (256) 536-5511.

Contact Information

Primary practice address
301 Governors Dr Sw Huntsville AL 35801-5123
Phone: (256) 536-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21385 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N4758 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21385 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N4758 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.35626 Alabama

Profile Details

NPI number 1972591782
LBN Legal business name Smalligan, Roger D
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jan 19th, 2023 - about last year

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 1972591782 NPPES
Oklahoma MEDICAID 200263280 A
Oklahoma MEDICAID 4086850
Oklahoma MEDICAID 205346401
Oklahoma Other 205346403
Oklahoma MEDICAID 40572889
Oklahoma MEDICAID 205346402

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