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Contact Information

REBEKAH B BOGAN, FNP
13245 KESSLER RD
CAIRO, IL62914-3101
 Phone: 618-734-4400
 Fax: 618-477-8557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for REBEKAH B BOGAN · (Female)

NPI # 1720330608
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/03/2012
Last updated 02/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041407232
  • IL License # 209010690
  • IL License # 277001252
  • MO License # 2009015162
  • MO License # 2012033119
  • MO Medicaid 1720330608
Hospital affiliation(s)
  • UNION COUNTY HOSPITAL - (Critical Access)
    517 NORTH MAIN STREET
    ANNA, IL 62906
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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