Boogaart, Megan Y

Boogaart, Megan Y is an individual health care provider with primary practice located at 7533 Center St , Mentor OH 44060-6001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boogaart, Megan Y can be contacted via phone (440) 974-8362.

Contact Information

Primary practice address
7533 Center St Mentor OH 44060-6001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-08628 Ohio

Profile Details

NPI number 1063412435
LBN Legal business name Boogaart, Megan Y
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 18th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063412435 NPPES
Indiana Other 000000297136 BC/BS #
Indiana MEDICAID 2393388 BC/BS #
Indiana MEDICAID 200273820 BC/BS #

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