Boggs, Dwight Franklin

Boggs, Dwight Franklin is an individual health care provider with primary practice located at 411 E Matthews Ave , Jonesboro AR 72401-3142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Boggs, Dwight Franklin can be contacted via phone (870) 930-3518.

Contact Information

Primary practice address
411 E Matthews Ave Jonesboro AR 72401-3142
Fax: (870) 930-3569
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C4266 Arkansas

Profile Details

NPI number 1114953957
LBN Legal business name Boggs, Dwight Franklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114953957 NPPES
Arkansas Other 50538 BLUE CROSS BLUE SHIELD

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