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
Phone: (321) 284-1840
Fax: (321) 284-1854
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518923366 | NPPES |
Other | 593468490 | AETNA |
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