Boogaard, Ronald G.

Boogaard, Ronald G. is an sole proprietor health care provider with primary practice located at 130 Northwest Dr , Lebanon PA 17042-8915. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Boogaard, Ronald G. can be contacted via phone (717) 274-5902.

Contact Information

Primary practice address
130 Northwest Dr Lebanon PA 17042-8915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD031413E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD031413E Pennsylvania

Profile Details

NPI number 1275510356
LBN Legal business name Boogaard, Ronald G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Aug 12th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275510356 NPPES
Pennsylvania MEDICAID 0018856010004

Popular Providers