Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0100X | Occupational Health | H7249 | TX |
NPI | 1346252145 |
---|---|
Provider Name | Mrs. Cindy A Rogers |
First Address | Enid, OK 73702-1331 |
Second Address | Enid, OK 73701-5832 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 03/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100137350A | (05) | OK |
E86087 | (02) |