Boguniewicz, Mark
Boguniewicz, Mark is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Boguniewicz, Mark can be contacted via phone (303) 388-4461.Contact Information
Primary practice address
1400 Jackson St
Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 270-2206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 30168 | Colorado |
Profile Details
| NPI number | 1790796555 |
|---|---|
| LBN Legal business name | Boguniewicz, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Nov 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790796555 | NPPES |
| Colorado | MEDICAID | 01301688 |
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