Bogdan, Julie D

Bogdan, Julie D is an individual health care provider with primary practice located at 341 Ozona Rd , Picayune MS 39466-7819. She 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 her primary health care specialty. Bogdan, Julie D can be contacted via phone (601) 749-1502.

Contact Information

Primary practice address
341 Ozona Rd Picayune MS 39466-7819
Phone: (601) 749-1502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.A10440.RX Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00227 Mississippi

Profile Details

NPI number 1043276504
LBN Legal business name Bogdan, Julie D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated May 10th, 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 1043276504 NPPES
Louisiana MEDICAID 1628603
Louisiana MEDICAID PA00227

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