Rogers, Dwain M.

Rogers, Dwain M. is an individual health care provider with primary practice located at 406 W Oak St , Titusville PA 16354-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rogers, Dwain M. can be contacted via phone (814) 827-4244.

Contact Information

Primary practice address
406 W Oak St Titusville PA 16354-1404
Phone: (814) 827-4244
Fax: (814) 827-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 34662 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 196503 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X MD074183L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 24808 Nebraska
Allopathic & Osteopathic Physicians / Surgery 208600000X 036125438 Illinois

Profile Details

NPI number 1548310543
LBN Legal business name Rogers, Dwain M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 30th, 2016 - about 10 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 1548310543 NPPES
Illinois MEDICAID 036125438

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