Bogren, Michael

Bogren, Michael is an individual health care provider with primary practice located at 1400 Emeline St Bldg K (3Rd Floor), Santa Cruz CA 95060-5320. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bogren, Michael can be contacted via phone (831) 454-7435.

Contact Information

Primary practice address
1400 Emeline St Bldg K (3Rd Floor) Santa Cruz CA 95060-5320
Phone: (831) 454-7435
Fax: (831) 454-4747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A02820315 California

Profile Details

NPI number 1013133644
LBN Legal business name Bogren, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jan 16th, 2019 - about 7 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 1013133644 NPPES
Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
MEDICAID ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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