Bogart, Jack

Bogart, Jack is an individual health care provider with primary practice located at 740 High St Suite 2001, Williamsport PA 17701-3102. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Bogart, Jack can be contacted via phone (570) 321-2800.

Contact Information

Primary practice address
740 High St Suite 2001 Williamsport PA 17701-3102
Phone: (570) 321-2800
Fax: (570) 321-3351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN547739 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP011577 Pennsylvania

Profile Details

NPI number 1790066223
LBN Legal business name Bogart, Jack
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2011
Last updated Sep 9th, 2015 - about 9 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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