Rogers, Glenn Alvin

Rogers, Glenn Alvin is an individual health care provider with primary practice located at 12459 Us 22 And 3 , Sabina OH 45169. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rogers, Glenn Alvin can be contacted via phone (937) 584-2459.

Contact Information

Primary practice address
12459 Us 22 And 3 Sabina OH 45169
Phone: (937) 584-2459
Fax: (937) 584-4941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35076945R Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35076945 Ohio

Profile Details

NPI number 1215017744
LBN Legal business name Rogers, Glenn Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 18th, 2011 - about 15 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 1215017744 NPPES
Ohio MEDICAID 2198527

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