Bogardus, Tyler John
Bogardus, Tyler John is an individual health care provider with primary practice located at 506 S Franklin St , Watkins Glen NY 14891-1524. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bogardus, Tyler John can be contacted via phone (607) 535-7350.Contact Information
Primary practice address
506 S Franklin St
Watkins Glen NY 14891-1524
Phone: (607) 535-7350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 060461 | New York |
Profile Details
| NPI number | 1053778399 |
|---|---|
| LBN Legal business name | Bogardus, Tyler John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2016 |
| Last updated | Jan 18th, 2016 - about 8 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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