Individual
CHESTER LYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 N WASHINGTON ST, BOURBON, IN 46504-1623
(574) 342-2444
(574) 342-2442
Mailing address
707 E CEDAR ST, STE 200, SOUTH BEND, IN 46617-2057
(574) 472-6700
(574) 472-6746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01041632
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314564
ANTHEM
IN
01
—
000000803855
ANTHEM
IN
01
—
000000878019
ANTHEM
IN
01
—
000001417024
ANTHEM
IN
01
—
000001417982
ANTHEM
IN
01
—
000001418073
ANTHEM
IN
01
—
000001418134
ANTHEM
IN
01
—
000001418170
ANTHEM
IN
05
—
100328410
—
IN
Enumeration date
06/06/2006
Last updated
11/25/2020
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