Brogden, Stephanie Janet
Brogden, Stephanie Janet is an sole proprietor health care provider with primary practice located at 1209 Se Industry Dr , Oxford NC 27565-5023. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Brogden, Stephanie Janet can be contacted via phone (252) 492-8576.Contact Information
Primary practice address
1209 Se Industry Dr
Oxford NC 27565-5023
Phone: (252) 492-8576
Fax: (252) 492-7464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 051437 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 9900437 | North Carolina |
Profile Details
| NPI number | 1578524724 |
|---|---|
| LBN Legal business name | Brogden, Stephanie Janet |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1578524724 | NPPES |
| Georgia | Other | 051437 | GEORGIA LICENSE NUMBER |
| Georgia | MEDICAID | 000964224B | GEORGIA LICENSE NUMBER |
| Georgia | Other | 9900437 | GEORGIA LICENSE NUMBER |
| Georgia | MEDICAID | 1578524724 | GEORGIA LICENSE NUMBER |
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