Wortham, Roger Lee

Wortham, Roger Lee is an sole proprietor health care provider with primary practice located at 600 Jefferson St Ste 909 , Lafayette LA 70501-6964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wortham, Roger Lee can be contacted via phone (337) 565-0200.

Contact Information

Primary practice address
600 Jefferson St Ste 909 Lafayette LA 70501-6964
Phone: (337) 565-0200
Fax: (337) 565-0200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D0064066 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 016463 Louisiana

Profile Details

NPI number 1427153386
LBN Legal business name Wortham, Roger Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Sep 9th, 2021 - about 5 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 1427153386 NPPES
Other 07205 360 ALLIANCE - GILSBAR
Other 87843 360 ALLIANCE - GILSBAR
Other 87726 360 ALLIANCE - GILSBAR
Other 61101 360 ALLIANCE - GILSBAR
Other 23738 360 ALLIANCE - GILSBAR
Other TDDIR 360 ALLIANCE - GILSBAR
Other 60054 360 ALLIANCE - GILSBAR
Other 62308 360 ALLIANCE - GILSBAR
Other 72128 360 ALLIANCE - GILSBAR

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