Bogan, Vincent Bernard

Bogan, Vincent Bernard is an individual health care provider with primary practice located at 9501 Farrell Rd Dewitt Army Community Hospital, Fort Belvoir VA 22060-5901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bogan, Vincent Bernard can be contacted via phone (703) 805-0342.

Contact Information

Primary practice address
9501 Farrell Rd Dewitt Army Community Hospital Fort Belvoir VA 22060-5901
Phone: (703) 805-0342
Fax: (703) 805-0731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024164349 Virginia

Profile Details

NPI number 1174569263
LBN Legal business name Bogan, Vincent Bernard
Credentials MSN-CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jan 25th, 2011 - 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 1174569263 NPPES
Virginia MEDICAID 1174569263

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