Healthcare Provider Details

I. General information

NPI: 1487833653
Provider Name (Legal Business Name): ROBERT J. ROGERS,DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 W STATE ST
BELDING MI
48809-9288
US

IV. Provider business mailing address

1439 W STATE ST
BELDING MI
48809-9288
US

V. Phone/Fax

Practice location:
  • Phone: 616-794-3100
  • Fax:
Mailing address:
  • Phone: 616-794-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301002939
License Number StateMI

VIII. Authorized Official

Name: DR. ROBERT J ROGERS
Title or Position: OWNER
Credential: DC
Phone: 616-794-3100