Bogie, Gemini J

Bogie, Gemini J is an individual health care provider with primary practice located at 5622 N Portland Ave Ste 200 , Oklahoma City OK 73112-2000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Bogie, Gemini J can be contacted via phone (405) 528-8193.

Contact Information

Primary practice address
5622 N Portland Ave Ste 200 Oklahoma City OK 73112-2000
Fax: (405) 528-0626
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20219 Oklahoma

Profile Details

NPI number 1326029299
LBN Legal business name Bogie, Gemini J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 4th, 2018 - about 7 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 1326029299 NPPES
Oklahoma MEDICAID 100119270B

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