Boga, Jean A

Boga, Jean A is an individual health care provider with primary practice located at 701 E Tudor Rd Suite 135, Anchorage AK 99503-7457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Boga, Jean A can be contacted via phone (907) 644-8044.

Contact Information

Primary practice address
701 E Tudor Rd Suite 135 Anchorage AK 99503-7457
Phone: (907) 644-8044
Fax: (907) 644-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 212 Alaska

Profile Details

NPI number 1063525145
LBN Legal business name Boga, Jean A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063525145 NPPES
Alaska MEDICAID 2946

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