Bogue, Ann M
Bogue, Ann M is an individual health care provider with primary practice located at 429 W Lincoln Rd , Kokomo IN 46902-3508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bogue, Ann M can be contacted via phone (765) 453-5600.Contact Information
Primary practice address
429 W Lincoln Rd
Kokomo IN 46902-3508
Phone: (765) 453-5600
Fax: (765) 455-0110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013786 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005573A | Indiana |
Profile Details
| NPI number | 1437533320 |
|---|---|
| LBN Legal business name | Bogue, Ann M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2015 |
| Last updated | Aug 19th, 2022 - about 2 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 | 1437533320 | NPPES |
| Indiana | MEDICAID | 201308690 |
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