Provider Demographics
NPI:1598090342
Name:ROGERS, JANET L (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 QUARRIER ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1809
Mailing Address - Country:US
Mailing Address - Phone:304-414-3003
Mailing Address - Fax:304-414-2688
Practice Address - Street 1:1205 QUARRIER ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1809
Practice Address - Country:US
Practice Address - Phone:304-414-3003
Practice Address - Fax:304-414-2688
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV893111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition