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
Fax: (865) 545-3115
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477583268 NPPES
Tennessee MEDICAID 2002856

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