Bogue, Jarrod Terrence
Bogue, Jarrod Terrence is an individual health care provider with primary practice located at 161 Ft Washingtn Ave Fl 5 , New York NY 10032-3729. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Bogue, Jarrod Terrence can be contacted via phone (212) 342-3704.Contact Information
Primary practice address
161 Ft Washingtn Ave Fl 5
New York NY 10032-3729
Phone: (212) 342-3704
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 307899 | New York |
Profile Details
NPI number | 1619364882 |
---|---|
LBN Legal business name | Bogue, Jarrod Terrence |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2015 |
Last updated | Mar 16th, 2022 - about 3 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 | 1619364882 | NPPES |
New York | Other | 307899 | MEDICAL LICENSE |
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