Vander Boegh, Brian W

Vander Boegh, Brian W is an individual health care provider with primary practice located at 1530 Lone Oak Rd Emergency Department, Paducah KY 42003-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Vander Boegh, Brian W can be contacted via phone (270) 444-2150.

Contact Information

Primary practice address
1530 Lone Oak Rd Emergency Department Paducah KY 42003-7901
Phone: (270) 444-2150
Fax: (270) 444-2985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19738 Kentucky

Profile Details

NPI number 1356337182
LBN Legal business name Vander Boegh, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 8th, 2015 - 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 1356337182 NPPES
Kentucky MEDICAID 64197387

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