Bogatch, Michael Todd

Bogatch, Michael Todd is an individual health care provider with primary practice located at 9601 Baptist Health Dr Ste 210 , Little Rock AR 72205-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bogatch, Michael Todd can be contacted via phone (501) 217-3533.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 210 Little Rock AR 72205-6342
Phone: (501) 217-3533
Fax: (501) 217-3578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X A129673 California
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X E12668 Arkansas

Profile Details

NPI number 1154556678
LBN Legal business name Bogatch, Michael Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated Nov 30th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154556678 NPPES
Arkansas MEDICAID 237276001

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