Basic Information
| Provider Information | |||||||||
| NPI: | 1013083260 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROGELIO A. SANCHEZ, MD, CO, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 960 W WOOSTER ST | ||||||||
| Address2: | 106 | ||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434022644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193521440 | ||||||||
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| Practice Location | |||||||||
| Address1: | 960 W WOOSTER ST | ||||||||
| Address2: | 106 | ||||||||
| City: | BOWLING GREEN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 434022644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193521440 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2006 | ||||||||
| LastUpdateDate: | 04/20/2008 | ||||||||
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| AuthorizedOfficialLastName: | SANCHEZ | ||||||||
| AuthorizedOfficialFirstName: | ROGELIO | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PERSIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4193521440 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 35-035363 | OH | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.