Healthcare Provider Details

I. General information

NPI: 1255036794
Provider Name (Legal Business Name): RODGERS AND RODGERS CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4560 SOUTH BLVD STE 116
VIRGINIA BEACH VA
23452-1160
US

IV. Provider business mailing address

808 LYM DR
VIRGINIA BEACH VA
23464-1693
US

V. Phone/Fax

Practice location:
  • Phone: 757-272-1694
  • Fax: 757-367-8055
Mailing address:
  • Phone: 812-606-0656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. CLAUDIUS R RODGERS
Title or Position: PRESIDENT
Credential: PHD
Phone: 757-367-8055