Boggess, Brent
Boggess, Brent is an individual health care provider with primary practice located at 3570 Shattuck Rd , Saginaw MI 48603-3153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boggess, Brent can be contacted via phone (989) 792-5353.Contact Information
Primary practice address
3570 Shattuck Rd
Saginaw MI 48603-3153
Phone: (989) 792-5353
Fax: (989) 792-3033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BB050524 | Michigan |
Profile Details
| NPI number | 1407852064 |
|---|---|
| LBN Legal business name | Boggess, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Apr 6th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407852064 | NPPES |
| Michigan | MEDICAID | 3208531 |
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