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NPI Code Detail

MEDICARE: ROGER HEMMING CONTRACTOR, LLC

MEDICARE: ROGER HEMMING CONTRACTOR, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171W00000XContractor
2171WH0202XHome Modifications Contractor

General Provider Information

NPI Number : 1013755891
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROGER HEMMING CONTRACTOR, LLC
Provider Business Mailing Address
First Line : 22115 STATE ROUTE 73
Second Line :
City : WEST PORTSMOUTH
State : OH
Zip : 45663-6366
Country : US
Telephone Number : 740-858-6761
Fax Number :
Provider Business Practice Location Address
First Line : 22115 STATE ROUTE 73
Second Line :
City : WEST PORTSMOUTH
State : OH
Zip : 45663-6366
Country : US
Telephone Number : 740-858-6761
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DEBRA OLIVER
Credential :
Telephone Number : 740-858-6761
Provider Enumeration Date : 07/17/2024
Last Update Date : 07/17/2024

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Directions to “ROGER HEMMING CONTRACTOR, LLC ” Practice Location

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