Bogle, Shannon

Bogle, Shannon is an individual health care provider with primary practice located at 2106 S Lois Ave , Tampa FL 33629-5659. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Bogle, Shannon can be contacted via phone (813) 287-9370.

Contact Information

Primary practice address
2106 S Lois Ave Tampa FL 33629-5659
Phone: (813) 287-9370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT12643 Florida

Profile Details

NPI number 1851401582
LBN Legal business name Bogle, Shannon
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 13th, 2010 - about 14 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 1851401582 NPPES
Florida Other P00465914 RAILROAD MEDICARE

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