Yeager, Roger

Yeager, Roger is an individual health care provider with primary practice located at 1445 Portland Ave , Rochester NY 14621-3036. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Yeager, Roger can be contacted via phone (585) 922-4698.

Contact Information

Primary practice address
1445 Portland Ave Rochester NY 14621-3036
Fax: (585) 922-5702
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 007888 New York

Profile Details

NPI number 1508821703
LBN Legal business name Yeager, Roger
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 26th, 2021 - about 3 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 1508821703 NPPES
New York MEDICAID 02306325

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