Rodgers, John
Rodgers, John is an individual health care provider with primary practice located at 27 Sycamore St Ste 100, Prime Healthcare, Glastonbury CT 06033-2223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rodgers, John can be contacted via phone (860) 659-0581.Contact Information
Primary practice address
27 Sycamore St Ste 100, Prime Healthcare
Glastonbury CT 06033-2223
Phone: (860) 659-0581
Fax: (860) 652-3077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 021188 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 021188 | Connecticut |
Profile Details
| NPI number | 1588641112 |
|---|---|
| LBN Legal business name | Rodgers, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588641112 | NPPES |
| Connecticut | Other | 010021188CT01 | BCBS |
| Connecticut | Other | 021188 | BCBS |
| Connecticut | MEDICAID | 001211887 | BCBS |
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