Bogard, Ryan Drew

Bogard, Ryan Drew is an sole proprietor health care provider with primary practice located at 310 Tri State Pkwy Ste 100 , Gurnee IL 60031-5282. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bogard, Ryan Drew can be contacted via phone (314) 583-3104.

Contact Information

Primary practice address
310 Tri State Pkwy Ste 100 Gurnee IL 60031-5282
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019.033452 Illinois

Profile Details

NPI number 1740925304
LBN Legal business name Bogard, Ryan Drew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2022
Last updated Apr 28th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740925304 NPPES
Illinois Other 019.033452 LICENSE NUMBER

Popular Providers