Bogan, Dustin W

Bogan, Dustin W is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bogan, Dustin W can be contacted via phone (434) 924-8184.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22903-2824
Phone: (434) 924-8184
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110005643 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110005643 Virginia

Profile Details

NPI number 1790220341
LBN Legal business name Bogan, Dustin W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2017
Last updated Jun 15th, 2026 - about 4 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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