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Contact Information

WYLIE R ROGERS
2120 L ST NW
LBBY LEVEL
WASHINGTON, DC20037-1527
 Phone: 202-715-4600
 Fax: 202-862-5489
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WYLIE R ROGERS · (Male)

NPI Number 1093874505
Status Active
Credentials
Entity Individual
Enumeration date 12/08/2006
Last updated 04/03/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD035838
  • DC Medicaid 037553500
  • VA Medicaid 010239052
Hospital affiliation(s)
  • HOWARD UNIVERSITY HOSPITAL - (Acute Care)
    2041 GEORGIA AVE NW
    WASHINGTON, DC 20060
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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