Bogosian, Paul George

Bogosian, Paul George is an individual health care provider with primary practice located at 7715 Whitaker Ave , Philadelphia PA 19111-2854. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bogosian, Paul George can be contacted via phone (215) 342-2225.

Contact Information

Primary practice address
7715 Whitaker Ave Philadelphia PA 19111-2854
Fax: (215) 342-3232
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC002358L Pennsylvania

Profile Details

NPI number 1356321145
LBN Legal business name Bogosian, Paul George
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 9th, 2007 - about 19 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 1356321145 NPPES
Pennsylvania MEDICAID 0905356
Pennsylvania Other 4338939
Pennsylvania Other 088735
Pennsylvania Other 0061021000
Pennsylvania Other 94051

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