Bogel, Susan Carol
Bogel, Susan Carol is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bogel, Susan Carol can be contacted via phone (863) 680-7000.Contact Information
Primary practice address
1600 Lakeland Hills Blvd
Lakeland FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | ARNP765712 | Florida |
Profile Details
NPI number | 1376514869 |
---|---|
LBN Legal business name | Bogel, Susan Carol |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2006 |
Last updated | Jun 21st, 2012 - about 12 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 | 1376514869 | NPPES |
Florida | MEDICAID | 303701100 |
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