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Contact Information

STACI BOGIN, DPM
3655 E 104TH AVE
SUITE B
THORNTON, CO80233-4469
 Phone: 720-328-2022
 Fax: 720-328-1224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for STACI BOGIN · (Female)

NPI Number 1902119902
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/19/2010
Last updated 09/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # POD-698
  • CO Other POD-698 COLORADO PODIATRY LICENSE
Hospital affiliation(s)
  • NORTH SUBURBAN MEDICAL CENTER - (Acute Care)
    9191 GRANT ST
    THORNTON, CO 80229
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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