Boggess, Michael A.

Boggess, Michael A. is an sole proprietor health care provider with primary practice located at 213 Overlook Cir Ste B3 , Brentwood TN 37027-3241. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Boggess, Michael A. can be contacted via phone (615) 942-8016.

Contact Information

Primary practice address
213 Overlook Cir Ste B3 Brentwood TN 37027-3241
Phone: (615) 942-8016
Fax: (615) 739-5376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 31982 Kentucky
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 44489 Tennessee

Profile Details

NPI number 1912973249
LBN Legal business name Boggess, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Nov 22nd, 2015 - about 10 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 1912973249 NPPES
Kentucky MEDICAID 64007750
Kentucky MEDICAID Q017030

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