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Contact Information

JULIE D BOGDAN, PA
341 OZONA RD
PICAYUNE, MS39466-7819
 Phone: 601-749-1502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JULIE D BOGDAN · (Female)

NPI Number 1043276504
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/25/2006
Last updated 05/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.A10440.RX
  • MS License # PA00227
  • LA Medicaid 1628603
  • MS Medicaid PA00227
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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