Bogartz, Leon Jacob
Bogartz, Leon Jacob is an sole proprietor health care provider with primary practice located at 7540 Dannaher Ln Ste. 300, Powell TN 37849-4013. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bogartz, Leon Jacob can be contacted via phone (865) 362-8524.Contact Information
Primary practice address
7540 Dannaher Ln Ste. 300
Powell TN 37849-4013
Phone: (865) 362-8524
Fax: (865) 545-3115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0000006741 | Tennessee |
Profile Details
| NPI number | 1477583268 |
|---|---|
| LBN Legal business name | Bogartz, Leon Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477583268 | NPPES |
| Tennessee | MEDICAID | 2002856 |
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