Busan, Bogdan Robert
Busan, Bogdan Robert is an sole proprietor health care provider with primary practice located at 4035 Morsay Dr Ste 1 , Rockford IL 61107-4875. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Busan, Bogdan Robert can be contacted via phone (815) 398-1376.Contact Information
Primary practice address
4035 Morsay Dr Ste 1
Rockford IL 61107-4875
Phone: (815) 398-1376
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 021002454 | Illinois |
Dental Providers / Dentist | 122300000X | 019028190 | Illinois |
Profile Details
NPI number | 1285951004 |
---|---|
LBN Legal business name | Busan, Bogdan Robert |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2010 |
Last updated | Apr 30th, 2024 - about 5 months 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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