Bogin, Staci

Bogin, Staci is an sole proprietor health care provider with primary practice located at 3655 E 104Th Ave Suite B, Thornton CO 80233-4469. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Bogin, Staci can be contacted via phone (720) 328-2022.

Contact Information

Primary practice address
3655 E 104Th Ave Suite B Thornton CO 80233-4469
Phone: (720) 328-2022
Fax: (720) 328-1224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-698 Colorado

Profile Details

NPI number 1902119902
LBN Legal business name Bogin, Staci
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2010
Last updated Sep 13th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902119902 NPPES
Colorado Other POD-698 COLORADO PODIATRY LICENSE

Popular Providers