Boggess, Jeffrey P

Boggess, Jeffrey P is an individual health care provider with primary practice located at 1080 Mount Bachelor Dr , Bend OR 97702-3280. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boggess, Jeffrey P can be contacted via phone (541) 550-4400.

Contact Information

Primary practice address
1080 Mount Bachelor Dr Bend OR 97702-3280
Phone: (541) 550-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD12449 Oregon

Profile Details

NPI number 1215048715
LBN Legal business name Boggess, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 12th, 2013 - about 12 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 1215048715 NPPES
Oregon Other 00849835 MEDICARE RAILROAD
Oregon MEDICAID 075986 MEDICARE RAILROAD

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