Rogers, Wayne Glenn

Rogers, Wayne Glenn is an sole proprietor health care provider with primary practice located at 3B Cleveland Ct , Greenville SC 29607-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rogers, Wayne Glenn can be contacted via phone (864) 232-0196.

Contact Information

Primary practice address
3B Cleveland Ct Greenville SC 29607-2414
Fax: (864) 351-0373
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 6924 South Carolina

Profile Details

NPI number 1659323111
LBN Legal business name Rogers, Wayne Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2006
Last updated Nov 14th, 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 1659323111 NPPES
South Carolina MEDICAID GP0198

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