Michaels-Bogdan, Katerina M.
Michaels-Bogdan, Katerina M. is an individual health care provider with primary practice located at 2600 Tamarack Ave Ste 200 , South Windsor CT 06074-5560. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Michaels-Bogdan, Katerina M. can be contacted via phone (860) 646-1157.Contact Information
Primary practice address
2600 Tamarack Ave Ste 200
South Windsor CT 06074-5560
Phone: (860) 646-1157
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 042485 | Connecticut |
Profile Details
| NPI number | 1164484762 |
|---|---|
| LBN Legal business name | Michaels-Bogdan, Katerina M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Mar 16th, 2023 - about 3 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 | 1164484762 | NPPES |
| Connecticut | MEDICAID | 001424853 |
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