Brogan, Michael Dale
Brogan, Michael Dale is an individual health care provider with primary practice located at 3400 Olentangy River Rd , Columbus OH 43202-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brogan, Michael Dale can be contacted via phone (614) 754-5500.Contact Information
Primary practice address
3400 Olentangy River Rd
Columbus OH 43202-1576
Phone: (614) 754-5500
Fax: (614) 457-4519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35-046098 | Ohio |
Profile Details
| NPI number | 1922091594 |
|---|---|
| LBN Legal business name | Brogan, Michael Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Nov 7th, 2023 - about last year |
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 | 1922091594 | NPPES |
| Ohio | MEDICAID | 0633863 |
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