Waterfield-Bogden, Abby Marie

Waterfield-Bogden, Abby Marie is an individual health care provider with primary practice located at 15855 19 Mile Rd Emergency Department, Clinton Township MI 48038-3504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Waterfield-Bogden, Abby Marie can be contacted via phone (586) 263-2601.

Contact Information

Primary practice address
15855 19 Mile Rd Emergency Department Clinton Township MI 48038-3504
Phone: (586) 263-2601
Fax: (586) 263-2589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101017479 Michigan

Profile Details

NPI number 1811196454
LBN Legal business name Waterfield-Bogden, Abby Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jan 19th, 2016 - about 10 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 1811196454 NPPES
Other 12282263 CAQH

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