Boggon, Cassandra
Boggon, Cassandra is an sole proprietor health care provider with primary practice located at 16203 Wyoming St , Detroit MI 48221-3417. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Boggon, Cassandra can be contacted via phone (313) 864-2788.Contact Information
Primary practice address
16203 Wyoming St
Detroit MI 48221-3417
Phone: (313) 864-2788
Fax: (866) 267-7903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2701115101 | Michigan |
Profile Details
| NPI number | 1770803496 |
|---|---|
| LBN Legal business name | Boggon, Cassandra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2010 |
| Last updated | Jun 3rd, 2010 - about 16 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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