West, Roger Gordon

West, Roger Gordon is an individual health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. West, Roger Gordon can be contacted via phone (225) 757-0552.

Contact Information

Primary practice address
5000 Hennessy Blvd Baton Rouge LA 70808
Fax: (225) 763-9997
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 014223 Louisiana

Profile Details

NPI number 1407810138
LBN Legal business name West, Roger Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Apr 21st, 2014 - about 10 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 1407810138 NPPES
Louisiana MEDICAID 1347094

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