Rogers, Derrick Thomas

Rogers, Derrick Thomas is an individual health care provider with primary practice located at 2525 W University Ave Suite 501, Muncie IN 47303-3421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Rogers, Derrick Thomas can be contacted via phone (765) 284-2172.

Contact Information

Primary practice address
2525 W University Ave Suite 501 Muncie IN 47303-3421
Phone: (765) 284-2172
Fax: (765) 288-1292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35.084101 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01066844 Indiana

Profile Details

NPI number 1013916345
LBN Legal business name Rogers, Derrick Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 19th, 2021 - about 5 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 1013916345 NPPES
Indiana MEDICAID 200949350
Indiana MEDICAID 2488259

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