Bogard, Denise Ruth
Bogard, Denise Ruth is an individual health care provider with primary practice located at 508 Gibson Dr Ste 290 , Roseville CA 95678-5795. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is her primary health care specialty. Bogard, Denise Ruth can be contacted via phone (916) 481-6800.Contact Information
Primary practice address
508 Gibson Dr Ste 290
Roseville CA 95678-5795
Phone: (916) 481-6800
Fax: (916) 481-1881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G69673 | California |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | G69673 | California |
Profile Details
| NPI number | 1184617524 |
|---|---|
| LBN Legal business name | Bogard, Denise Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Dec 10th, 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 | 1184617524 | NPPES |
| California | MEDICAID | GR0028370 |
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