Bogan, Stephen J
Bogan, Stephen J is an individual health care provider with primary practice located at 1170 Wyke Rd. , Shelby NC 28150-3406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bogan, Stephen J can be contacted via phone (704) 482-6767.Contact Information
Primary practice address
1170 Wyke Rd.
Shelby NC 28150-3406
Phone: (704) 482-6767
Fax: (704) 484-2507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 16420 | South Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 36496 | North Carolina |
Profile Details
| NPI number | 1942286018 |
|---|---|
| LBN Legal business name | Bogan, Stephen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Oct 5th, 2023 - about 2 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 | 1942286018 | NPPES |
| South Carolina | Other | 16428 | BCBS |
| South Carolina | Other | 16428 | BCBS |
| South Carolina | MEDICAID | 8916428 | BCBS |
| South Carolina | Other | D448817495 | BCBS |
| South Carolina | MEDICAID | N36496 | BCBS |
| South Carolina | Other | 0860143 | BCBS |
| South Carolina | Other | 16428 | BCBS |
| South Carolina | Other | 561705541 | BCBS |
| South Carolina | Other | 561705541 | BCBS |
| South Carolina | Other | D44881 | BCBS |
| South Carolina | Other | 561705441 | BCBS |
| South Carolina | Other | S341421 | BCBS |
| South Carolina | Other | 104386 | BCBS |
| South Carolina | Other | 2109355 | BCBS |
| South Carolina | Other | 561705541 | BCBS |
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