Bogard, Peter
Bogard, Peter is an individual health care provider with primary practice located at 700 Ramsey Ave Ste 104, Grants Pass OR 97527-5788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bogard, Peter can be contacted via phone (541) 471-4930.Contact Information
Primary practice address
700 Ramsey Ave Ste 104
Grants Pass OR 97527-5788
Phone: (541) 471-4930
Fax: (541) 471-1331
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | DO18557 | Oregon |
Profile Details
NPI number | 1659374528 |
---|---|
LBN Legal business name | Bogard, Peter |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Mar 17th, 2008 - about 16 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 | 1659374528 | NPPES |
Oregon | MEDICAID | 058748 |
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