Bogarin Miranda, Ernesto

Bogarin Miranda, Ernesto is an sole proprietor health care provider with primary practice located at 1520 Madison Ave , Fort Atkinson WI 53538-3100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bogarin Miranda, Ernesto can be contacted via phone (920) 563-5500.

Contact Information

Primary practice address
1520 Madison Ave Fort Atkinson WI 53538-3100
Phone: (920) 563-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RL14696 North Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R74574 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 73153-20 Wisconsin

Profile Details

NPI number 1376951046
LBN Legal business name Bogarin Miranda, Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2014
Last updated Oct 7th, 2022 - about 3 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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