Boggs, Laura Ellen
Boggs, Laura Ellen is an individual health care provider with primary practice located at 53-59 Public Square Suite 301, Watertown NY 13601-4034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Boggs, Laura Ellen can be contacted via phone (315) 782-2141.Contact Information
Primary practice address
53-59 Public Square Suite 301
Watertown NY 13601-4034
Phone: (315) 782-2141
Fax: (315) 782-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 250949 | New York |
Profile Details
| NPI number | 1013105949 |
|---|---|
| LBN Legal business name | Boggs, Laura Ellen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | May 19th, 2011 - about 14 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 | 1013105949 | NPPES |
| New York | MEDICAID | 03128838 |
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