Bogen, Mary Michelle

Bogen, Mary Michelle is an individual health care provider with primary practice located at 712 The Rialto , Venice FL 34285-3524. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bogen, Mary Michelle can be contacted via phone (941) 488-0222.

Contact Information

Primary practice address
712 The Rialto Venice FL 34285-3524
Phone: (941) 488-0222
Fax: (941) 480-1668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO3104 Florida

Profile Details

NPI number 1649288663
LBN Legal business name Bogen, Mary Michelle
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 9th, 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 1649288663 NPPES
Florida Other U1808A RAILROAD MEDICARE

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