Bogar, Kristina Nichole
Bogar, Kristina Nichole is an individual health care provider with primary practice located at 3450 Acworth Due West Rd Bldg 200, Suite 220, Kennesaw GA 30144-3335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bogar, Kristina Nichole can be contacted via phone (770) 456-5941.Contact Information
Primary practice address
3450 Acworth Due West Rd Bldg 200, Suite 220
Kennesaw GA 30144-3335
Phone: (770) 456-5941
Fax: (770) 456-5942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M0667 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 061943 | Georgia |
Profile Details
| NPI number | 1497793186 |
|---|---|
| LBN Legal business name | Bogar, Kristina Nichole |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jan 23rd, 2020 - about 6 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 | 1497793186 | NPPES |
| Georgia | MEDICAID | 863007771D | |
| Georgia | MEDICAID | 1795445 |
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