Provider Demographics
NPI:1649738287
Name:DR ROGERS CHIROPRACTIC NEUROLOGY PC
Entity type:Organization
Organization Name:DR ROGERS CHIROPRACTIC NEUROLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACNB
Authorized Official - Phone:714-209-3196
Mailing Address - Street 1:10953 MERIDIAN DR STE O
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5143
Mailing Address - Country:US
Mailing Address - Phone:714-821-4265
Mailing Address - Fax:714-821-9730
Practice Address - Street 1:10953 MERIDIAN DR STE O
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5143
Practice Address - Country:US
Practice Address - Phone:714-821-4265
Practice Address - Fax:714-821-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1033276522OtherFEDERAL GOVERNMENT NPI NUMBER