Debbie L Bogen

Individual provider Active NPI Other Technician · Dowagiac, MI

NPI 1770931024 · NPPES record last updated May 26, 2016

Key facts

NPI
1770931024
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
31777 Burke St
Dowagiac, MI 49047-9306
Phone
(269) 783-1033
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

31777 Burke St
Dowagiac, MI 49047-9306

Mailing address

31777 Burke St
Dowagiac, MI 49047-9306
Phone (269) 783-1033

Other providers in Dowagiac, MI

All providers in Dowagiac, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.