Bogard, Michael Stephen

Bogard, Michael Stephen is an individual health care provider with primary practice located at 4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bogard, Michael Stephen can be contacted via phone (314) 747-2551.

Contact Information

Primary practice address
4921 Parkview Pl Dept Orthopaedic Surgery, Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2551
Fax: (314) 747-2598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2023012297 Missouri

Profile Details

NPI number 1114412939
LBN Legal business name Bogard, Michael Stephen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Apr 25th, 2024 - about 7 months 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 1114412939 NPPES
Missouri MEDICAID 1114412939

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