Bogert, David Eric

Bogert, David Eric is an sole proprietor health care provider with primary practice located at 3389 W Vine St Suite 304, Kissimmee FL 34741-4665. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bogert, David Eric can be contacted via phone (321) 284-1840.

Contact Information

Primary practice address
3389 W Vine St Suite 304 Kissimmee FL 34741-4665
Fax: (321) 284-1854
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH3008 Florida

Profile Details

NPI number 1518923366
LBN Legal business name Bogert, David Eric
Credentials M.S., M.B.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Jun 9th, 2009 - about 15 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 1518923366 NPPES
Other 593468490 AETNA

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