Rodgers, David

Rodgers, David is an individual health care provider with primary practice located at 1650 Cochrane Cir Unit Meddac , Fort Carson CO 80913-4604. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rodgers, David can be contacted via phone (719) 524-6517.

Contact Information

Primary practice address
1650 Cochrane Cir Unit Meddac Fort Carson CO 80913-4604
Phone: (719) 524-6517
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP60080597 Washington
Other Service Providers / Military Health Care Provider 171000000X 1145181
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60815222 Washington

Profile Details

NPI number 1972903458
LBN Legal business name Rodgers, David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2014
Last updated Mar 18th, 2025 - 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 1972903458 NPPES
Washington MEDICAID 2121865

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