Bogard, David Brad

Bogard, David Brad is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904. 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. Bogard, David Brad can be contacted via phone (920) 456-6000.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904
Phone: (920) 456-6000
Fax: (920) 456-5590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 51135 Wisconsin

Profile Details

NPI number 1023056058
LBN Legal business name Bogard, David Brad
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 23rd, 2021 - about 3 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 1023056058 NPPES
Wisconsin Other 51135 WISCONSIN LICENSE
Wisconsin Other 1018214003 WISCONSIN LICENSE
Wisconsin MEDICAID 43399200 WISCONSIN LICENSE

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