Bogdanski, Craig M

Bogdanski, Craig M is an sole proprietor health care provider with primary practice located at 825 Meriden Waterbury Tpke , Southington CT 06489-4156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bogdanski, Craig M can be contacted via phone (860) 621-2673.

Contact Information

Primary practice address
825 Meriden Waterbury Tpke Southington CT 06489-4156
Phone: (860) 621-2673
Fax: (860) 621-2789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 039027 Connecticut

Profile Details

NPI number 1710986906
LBN Legal business name Bogdanski, Craig M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Mar 24th, 2009 - about 16 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 1710986906 NPPES
Connecticut MEDICAID 001390278
Connecticut Other 040039027CT02

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