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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629118765 NPPES
Kansas Other 393645 BLUE CROSS BLUE SHIELD ID

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