# HALEIGH T RODGERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558714832
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10002064A | IN | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 02/15/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000001034507 | ANTHEM PTAN | IN |
| 01 | — | 068010305 | MEDICARE PTAN | IN |
| 01 | — | 266430789 | MEDICARE PTAN | IN |
| 01 | — | 267030221 | MEDICARE PTAN | IN |
| 05 | — | 300023448 | — | IN |
| 01 | — | Q00098268 | RAILROAD PTAN | IN |