Boggs, Michael Todd

Boggs, Michael Todd is an individual health care provider with primary practice located at 405 W Grand Ave , Dayton OH 45405-7538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Boggs, Michael Todd can be contacted via phone (937) 723-3276.

Contact Information

Primary practice address
405 W Grand Ave Dayton OH 45405-7538
Phone: (937) 723-3276
Fax: (937) 723-3277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-06-7136 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.067136 Ohio

Profile Details

NPI number 1417956772
LBN Legal business name Boggs, Michael Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 5th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417956772 NPPES
Ohio MEDICAID 0169384

Popular Providers