Bogue, Chad Anthony

Bogue, Chad Anthony is an individual health care provider with primary practice located at 3630 Willowcreek Rd , Portage IN 46368-5075. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Bogue, Chad Anthony can be contacted via phone (219) 364-3700.

Contact Information

Primary practice address
3630 Willowcreek Rd Portage IN 46368-5075
Phone: (219) 364-3700
Fax: (219) 759-1197
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X 28163831A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009590A Indiana

Profile Details

NPI number 1508411315
LBN Legal business name Bogue, Chad Anthony
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2019
Last updated Sep 10th, 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.

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