Bogdan, Geraldine

Bogdan, Geraldine is an sole proprietor health care provider with primary practice located at 932 Congress St , Portland ME 04102-3032. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bogdan, Geraldine can be contacted via phone (207) 662-3005.

Contact Information

Primary practice address
932 Congress St Portland ME 04102-3032
Phone: (207) 662-3005
Fax: (207) 662-3863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R029424 Maine
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R029424 Maine

Profile Details

NPI number 1336218684
LBN Legal business name Bogdan, Geraldine
Credentials CNS, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Dec 16th, 2011 - about 13 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 1336218684 NPPES
Maine Other 432078399 STATE PROVIDER NO.

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