Boggie, Alan Graham
Boggie, Alan Graham is an sole proprietor health care provider with primary practice located at 371 Whitney Rd , Spartanburg SC 29303-3143. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boggie, Alan Graham can be contacted via phone (864) 515-0485.Contact Information
Primary practice address
371 Whitney Rd
Spartanburg SC 29303-3143
Phone: (864) 515-0485
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 3688 | South Carolina |
Profile Details
NPI number | 1528016367 |
---|---|
LBN Legal business name | Boggie, Alan Graham |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528016367 | NPPES |
South Carolina | MEDICAID | ZX3688 |
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