Rogers, Blake Aaron

Rogers, Blake Aaron is an sole proprietor health care provider with primary practice located at 2210 Wilborn Ave , South Boston VA 24592-1630. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Rogers, Blake Aaron can be contacted via phone (434) 575-5864.

Contact Information

Primary practice address
2210 Wilborn Ave South Boston VA 24592-1630
Phone: (434) 575-5864
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110006543 Virginia

Profile Details

NPI number 1659842557
LBN Legal business name Rogers, Blake Aaron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2018
Last updated Sep 23rd, 2019 - about 7 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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