Bogonko, Edwin Ndemo
Bogonko, Edwin Ndemo is an individual health care provider with primary practice located at 1515 Saint Francis Ave Suite # 100, Shakopee MN 55379-3387. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bogonko, Edwin Ndemo can be contacted via phone (952) 403-3535.Contact Information
Primary practice address
1515 Saint Francis Ave Suite # 100
Shakopee MN 55379-3387
Phone: (952) 403-3535
Fax: (952) 403-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 50217 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50217 | Minnesota |
Profile Details
| NPI number | 1447444666 |
|---|---|
| LBN Legal business name | Bogonko, Edwin Ndemo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Mar 16th, 2021 - about 4 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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