Wigton, Roger Bruce

Wigton, Roger Bruce is an individual health care provider with primary practice located at 5216 Dawes Ave , Alexandria VA 22311-1404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Wigton, Roger Bruce can be contacted via phone (703) 931-4746.

Contact Information

Primary practice address
5216 Dawes Ave Alexandria VA 22311-1404
Phone: (703) 931-4746
Fax: (703) 931-1794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101029799 Virginia

Profile Details

NPI number 1649212549
LBN Legal business name Wigton, Roger Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 23rd, 2009 - about 17 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 1649212549 NPPES
Virginia MEDICAID 006045201
Virginia Other 078284
Virginia Other 0004

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