Bogard, Peter

Bogard, Peter is an individual health care provider with primary practice located at 700 Ramsey Ave Ste 104, Grants Pass OR 97527-5788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bogard, Peter can be contacted via phone (541) 471-4930.

Contact Information

Primary practice address
700 Ramsey Ave Ste 104 Grants Pass OR 97527-5788
Phone: (541) 471-4930
Fax: (541) 471-1331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X DO18557 Oregon

Profile Details

NPI number 1659374528
LBN Legal business name Bogard, Peter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 17th, 2008 - about 18 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 1659374528 NPPES
Oregon MEDICAID 058748

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