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
Fax: (252) 492-7464
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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