Bogsrud, Theodore W
Bogsrud, Theodore W is an individual health care provider with primary practice located at 16818 E Desmet Ct , Spokane Valley WA 99216-3542. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bogsrud, Theodore W can be contacted via phone (509) 456-5380.Contact Information
Primary practice address
16818 E Desmet Ct
Spokane Valley WA 99216-3542
Phone: (509) 456-5380
Fax: (509) 456-5381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28189 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NUR-RN-LIC-101109 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP30004818 | Washington |
Profile Details
| NPI number | 1215968961 |
|---|---|
| LBN Legal business name | Bogsrud, Theodore W |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Nov 18th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215968961 | NPPES |
| Washington | Other | 430044217 | RAILROAD MEDICARE |
| Washington | MEDICAID | 9630542 | RAILROAD MEDICARE |
| Washington | Other | 430061770 | RAILROAD MEDICARE |
| Washington | Other | P00335315 | RAILROAD MEDICARE |
| Washington | Other | 430048398 | RAILROAD MEDICARE |
| Washington | Other | M011002649 | RAILROAD MEDICARE |
| Washington | Other | 1204355 | RAILROAD MEDICARE |
| Washington | Other | 430062516 | RAILROAD MEDICARE |
| Washington | Other | NM302933 | RAILROAD MEDICARE |
Popular Providers
-
Sanders, Suzanne R.
101 W 8Th Ave , Spokane WA 99204-2307 -
Finn, Darren S.
101 W 8Th Ave , Spokane WA 99204-2307 -
Gates, Lyle Edgar
12606 E Mission Ave , Spokane Valley WA 99216-3421 -
Morrow, Edward John
4815 N Assembly St , Spokane WA 99205-6185 -
Beckstrom, Steven W
12509 E Mission Ave Ste 101, Spokane Valley WA 99216-1049 -
Engel, Brian John
16818 E Desmet Ct , Spokane Valley WA 99216-3542 -
Reames, Daryl V
12606 E Mission Ave , Spokane Valley WA 99216-3421 -
Halley, Ellen E
1414 N Houk Rd Suite 204, Spokane Valley WA 99216-1097