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:
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Health care specialties

SpecialtyCodeLicense #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 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 1093770927 NPPES
New York MEDICAID 01412371

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