Jima, Bogale

Jima, Bogale is an individual health care provider with primary practice located at 13861 Hull Street Rd , Midlothian VA 23112-2091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jima, Bogale can be contacted via phone (804) 739-0910.

Contact Information

Primary practice address
13861 Hull Street Rd Midlothian VA 23112-2091
Phone: (804) 739-0910
Fax: (804) 739-2763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101057119 Virginia

Profile Details

NPI number 1922093806
LBN Legal business name Jima, Bogale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jan 20th, 2022 - about 4 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 1922093806 NPPES
Virginia MEDICAID 5631408
Virginia Other 541717999

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