Individual
NICHOLAS ALAN ROGERS
Active
Individual
NICHOLAS ALAN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01069473A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720130
ANTHEM
IN
05
—
201019040
—
IN
01
—
BP1-0022675
INSTITUTIONAL PERMIT
—
Enumeration date
05/22/2007
Last updated
03/05/2025
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