Boggus, Van B

Boggus, Van B is an individual health care provider with primary practice located at 6444 Monroe St Suite 3, Sylvania OH 43560-1454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boggus, Van B can be contacted via phone (419) 885-2553.

Contact Information

Primary practice address
6444 Monroe St Suite 3 Sylvania OH 43560-1454
Fax: (419) 885-7070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35-047650 B Ohio

Profile Details

NPI number 1326153925
LBN Legal business name Boggus, Van B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated May 31st, 2011 - about 13 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 1326153925 NPPES
Ohio MEDICAID 0492391

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