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
Fax: (904) 264-8972
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720153240 NPPES
Florida Other 75572 BLUE CROSS BLUE SHIELD

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