Healthcare Provider Details

I. General information

NPI: 1477576031
Provider Name (Legal Business Name): JEFFREY W ROGERS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 WASHINGTON RD
RYE NH
03870-2346
US

IV. Provider business mailing address

18 COUNTRY FARM RD
STRATHAM NH
03885-2536
US

V. Phone/Fax

Practice location:
  • Phone: 603-964-1500
  • Fax: 603-964-1591
Mailing address:
  • Phone: 603-773-5825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number254-0496
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: