Healthcare Provider Details

I. General information

NPI: 1598090342
Provider Name (Legal Business Name): JANET L ROGERS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 10/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 QUARRIER ST SUITE 100
CHARLESTON WV
25301-1809
US

IV. Provider business mailing address

1205 QUARRIER ST SUITE 100
CHARLESTON WV
25301-1809
US

V. Phone/Fax

Practice location:
  • Phone: 304-414-3003
  • Fax: 304-414-2688
Mailing address:
  • Phone: 304-414-3003
  • Fax: 304-414-2688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number893
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: