Boggy, Marc Nicholas
Boggy, Marc Nicholas is an sole proprietor health care provider with primary practice located at 2501 Capehart Rd , Offutt Afb NE 68113-1043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boggy, Marc Nicholas can be contacted via phone (402) 294-8581.Contact Information
Primary practice address
2501 Capehart Rd
Offutt Afb NE 68113-1043
Phone: (402) 294-8581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 77028 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40876 | Arizona |
Profile Details
| NPI number | 1558545285 |
|---|---|
| LBN Legal business name | Boggy, Marc Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Jul 24th, 2023 - about 2 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 | 1558545285 | NPPES |
| Arizona | Other | 40876 | MEDICAL LICENSE |
| Arizona | Other | 77028 | MEDICAL LICENSE |
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