Rogers, Tate M

Rogers, Tate M is an individual health care provider with primary practice located at 961 E Stuart Dr , Galax VA 24333-2407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rogers, Tate M can be contacted via phone (276) 236-9953.

Contact Information

Primary practice address
961 E Stuart Dr Galax VA 24333-2407
Fax: (276) 236-6084
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101030999 Virginia

Profile Details

NPI number 1740489343
LBN Legal business name Rogers, Tate M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Feb 12th, 2008 - about 18 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 1740489343 NPPES
Virginia MEDICAID 2007211081
Virginia Other C05711

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