1891938478 NPI number — SARAH ROGGENBUCK

Table of content: SARAH ROGGENBUCK (NPI 1891938478)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891938478 NPI number — SARAH ROGGENBUCK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROGGENBUCK
Provider First Name:
SARAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891938478
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1252 SAND BEACH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAD AXE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48413-8817
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-269-4327
Provider Business Mailing Address Fax Number:
989-269-2251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1252 SAND BEACH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAD AXE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48413-8817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-269-4327
Provider Business Practice Location Address Fax Number:
989-269-2251
Provider Enumeration Date:
04/13/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  3501004921 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 540C20026 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 540C21072 . This is a "BLUE CROSS BLUE SHIELD OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".