Bogue-Gilmore, Angela M
Bogue-Gilmore, Angela M is an individual health care provider with primary practice located at 2509 N Loch Lomond Court , Wichita KS 67228. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bogue-Gilmore, Angela M can be contacted via phone (316) 631-1280.Contact Information
Primary practice address
2509 N Loch Lomond Court
Wichita KS 67228
Phone: (316) 631-1280
Fax: (316) 631-1422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 267 | Kansas |
Profile Details
| NPI number | 1629118765 |
|---|---|
| LBN Legal business name | Bogue-Gilmore, Angela M |
| Credentials | LCMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1629118765 | NPPES |
| Kansas | Other | 393645 | BLUE CROSS BLUE SHIELD ID |
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