Rogers, Amanda Jean

Rogers, Amanda Jean is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Department Of Pediatrics, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rogers, Amanda Jean can be contacted via phone (414) 266-6803.

Contact Information

Primary practice address
9000 W Wisconsin Ave Department Of Pediatrics Milwaukee WI 53226-4874
Fax: (414) 266-6749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 55134 Wisconsin

Profile Details

NPI number 1346483005
LBN Legal business name Rogers, Amanda Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Mar 17th, 2014 - about 12 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 1346483005 NPPES
Wisconsin MEDICAID 1346483005

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