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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275510356 | NPPES |
Pennsylvania | MEDICAID | 0018856010004 |
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