Rogers, Glen M.

Rogers, Glen M. is an individual health care provider with primary practice located at 801 Broadway Ste 617 , Seattle WA 98122-4319. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Rogers, Glen M. can be contacted via phone (206) 623-0922.

Contact Information

Primary practice address
801 Broadway Ste 617 Seattle WA 98122-4319
Phone: (206) 623-0922
Fax: (206) 623-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60299909 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60299909 Washington

Profile Details

NPI number 1598733172
LBN Legal business name Rogers, Glen M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 23rd, 2020 - about 6 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 1598733172 NPPES
Washington MEDICAID 2023881

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