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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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