Rogers, Michael L

Rogers, Michael L is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rogers, Michael L can be contacted via phone (479) 521-8200.

Contact Information

Primary practice address
3344 N Futrall Dr Fayetteville AR 72703-4057
Fax: (479) 582-7310
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X C-6660 Arkansas

Profile Details

NPI number 1992731707
LBN Legal business name Rogers, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 2nd, 2012 - about 14 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 1992731707 NPPES
Arkansas Other P00186089 RR MCR
Arkansas MEDICAID 100080180A RR MCR
Arkansas MEDICAID 117248001 RR MCR
Arkansas Other 53496 RR MCR

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