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
Fax: (916) 481-1881
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184617524 NPPES
California MEDICAID GR0028370

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