Bogart, Kenneth
Bogart, Kenneth is an individual health care provider with primary practice located at 323 W Alder St , Missoula MT 59802-4123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bogart, Kenneth can be contacted via phone (406) 258-4191.Contact Information
Primary practice address
323 W Alder St
Missoula MT 59802-4123
Phone: (406) 258-4191
Fax: (406) 258-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 28 | Montana |
Profile Details
| NPI number | 1770520058 |
|---|---|
| LBN Legal business name | Bogart, Kenneth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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