Rogers, Kerry Jeanne

Rogers, Kerry Jeanne is an sole proprietor health care provider with primary practice located at 2222 Bancroft Ext , Berkeley CA 94720-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rogers, Kerry Jeanne can be contacted via phone (510) 642-2000.

Contact Information

Primary practice address
2222 Bancroft Ext Berkeley CA 94720-4303
Phone: (510) 642-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 262915 California

Profile Details

NPI number 1588734859
LBN Legal business name Rogers, Kerry Jeanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Mar 7th, 2023 - about 3 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 1588734859 NPPES
California Other 5428 NP FURNISHING NUMBER

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