Individual
MRS. BARBARA JEAN BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH PROVIDER
Contact information
Practice address
117 SYCAMORE ST APT 102, BROOKVILLE, OH 45309-1740
(937) 833-6106
Mailing address
11554 S WOLFCREEK PIKE, BROOKVILLE, OH 45309-8317
(937) 833-6106
(937) 833-6106
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151380
STATE PROVIDER NUMBER
OH
Enumeration date
03/06/2007
Last updated
10/07/2008
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