Bogucke, Jacqueline Ann
Bogucke, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 2300 State Road 44 , Oshkosh WI 54904-9137. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bogucke, Jacqueline Ann can be contacted via phone (920) 233-2373.Contact Information
Primary practice address
2300 State Road 44
Oshkosh WI 54904-9137
Phone: (920) 233-2373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 4368-024 | Wisconsin |
Profile Details
| NPI number | 1639233034 |
|---|---|
| LBN Legal business name | Bogucke, Jacqueline Ann |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639233034 | NPPES |
| Wisconsin | Other | 4368-024 | WI DEPARTMENT OF REG. |
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