Bogue, Stephen C

Bogue, Stephen C is an individual health care provider with primary practice located at 6661 Odana Road , Madison WI 53719. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Bogue, Stephen C can be contacted via phone (608) 829-2535.

Contact Information

Primary practice address
6661 Odana Road Madison WI 53719
Phone: (608) 829-2535
Fax: (608) 829-1319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 730 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 730 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 730 Wisconsin

Profile Details

NPI number 1184632341
LBN Legal business name Bogue, Stephen C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated May 20th, 2010 - about 14 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 1184632341 NPPES
Wisconsin MEDICAID 43221700

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