Bogaert, Maria A
Bogaert, Maria A is an individual health care provider with primary practice located at 1514 Amherst St , Winchester VA 22601-2803. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bogaert, Maria A can be contacted via phone (540) 667-4499.Contact Information
Primary practice address
1514 Amherst St
Winchester VA 22601-2803
Phone: (540) 667-4499
Fax: (540) 722-4172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 0101051206 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 0101051206 | Virginia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0101051206 | Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101051206 | Virginia |
Profile Details
| NPI number | 1790756534 |
|---|---|
| LBN Legal business name | Bogaert, Maria A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 23rd, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790756534 | NPPES |
| West Virginia | Other | 001717410 | MTST BCBS |
| West Virginia | MEDICAID | 0070048000 | MTST BCBS |
| West Virginia | Other | 019313 | MTST BCBS |
| West Virginia | MEDICAID | 005900433 | MTST BCBS |
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