Individual
BERNADETTE E BOGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 CENTER ST, ASHLAND, OH 44805-4011
(866) 916-5259
(231) 922-4030
Mailing address
75 REMIT DR # 1056, CHICAGO, IL 60675-1056
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50003149
OH
363A00000X
Physician Assistant
Primary
50003149
OH
Other
Enumeration date
10/15/2010
Last updated
12/07/2010
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