Bogner, Thomas B
Bogner, Thomas B is an sole proprietor health care provider with primary practice located at 1150 Youngs Rd Suite 104, Williamsville NY 14221-8053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bogner, Thomas B can be contacted via phone (716) 636-7979.Contact Information
Primary practice address
1150 Youngs Rd Suite 104
Williamsville NY 14221-8053
Phone: (716) 636-7979
Fax: (716) 636-7993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 192000 | New York |
Profile Details
| NPI number | 1093770927 |
|---|---|
| LBN Legal business name | Bogner, Thomas B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 13th, 2010 - about 15 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 | 1093770927 | NPPES |
| New York | MEDICAID | 01412371 |
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