Rogers, Corey A
Rogers, Corey A is an individual health care provider with primary practice located at 7550 West Village Circle Suite 1, Wichita KS 67205. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rogers, Corey A can be contacted via phone (316) 838-2020.Contact Information
Primary practice address
7550 West Village Circle Suite 1
Wichita KS 67205
Phone: (316) 838-2020
Fax: (316) 838-7574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15-00753 | Kansas |
Profile Details
| NPI number | 1376523803 |
|---|---|
| LBN Legal business name | Rogers, Corey A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Nov 19th, 2009 - about 17 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 | 1376523803 | NPPES |
| Kansas | MEDICAID | 100372330B |
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