Wolcott, Roger James

Wolcott, Roger James is an sole proprietor health care provider with primary practice located at 5902 66Th St , Lubbock TX 79424-3048. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Wolcott, Roger James can be contacted via phone (806) 797-2139.

Contact Information

Primary practice address
5902 66Th St Lubbock TX 79424-3048
Phone: (806) 797-2139
Fax: (806) 797-3105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X J4620 Texas
Other Service Providers / Specialist 174400000X J4620 Texas

Profile Details

NPI number 1871599944
LBN Legal business name Wolcott, Roger James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Feb 14th, 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 1871599944 NPPES
Texas MEDICAID 110687404
Texas MEDICAID 172052601
Texas MEDICAID 172053401

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