Boger, Patricia Ann
Boger, Patricia Ann is an sole proprietor health care provider with primary practice located at 1732 Kingsley Ave Suite 1, Orange Park FL 32073-4412. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boger, Patricia Ann can be contacted via phone (904) 264-0600.Contact Information
Primary practice address
1732 Kingsley Ave Suite 1
Orange Park FL 32073-4412
Phone: (904) 264-0600
Fax: (904) 264-8972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY 3337 | Florida |
Profile Details
NPI number | 1720153240 |
---|---|
LBN Legal business name | Boger, Patricia Ann |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 21st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1720153240 | NPPES |
Florida | Other | 75572 | BLUE CROSS BLUE SHIELD |
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