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Contact Information

LINDA A BOGUE
2919 E 4TH ST
JOPLIN, MO64801-1625
 Phone: 417-782-7966
 Fax: 417-624-4558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LINDA A BOGUE · (Female)

NPI # 1821422502
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2013
Last updated 08/29/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 1215
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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