person
Chad Anthony Bogue, NP
Family Nurse Practitioner in Portage, Indiana
NPI 1508411315

Chad Anthony Bogue is a Family Nurse Practitioner based in Chesterton, IN and is specialized in Family. Chad Anthony Bogue practices in Portage, IN and has the professional credentials of NP. The NPI Number for Chad Anthony Bogue is 1508411315 and holds a License No. 28163831A (Indiana).

The current practice location address for Chad Anthony Bogue is 3630 Willowcreek Rd, Portage, IN and can be reached out via phone at 219-364-3700 and via fax at 219-759-1197.

Location: 3630 Willowcreek Rd, Portage, IN, 46304-8708
person
Provider Profile Details
NPI Number
1508411315
Provider Name
Chad Anthony Bogue
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
3630 Willowcreek Rd, Portage, IN, 46304-8708
Phone Number
219-364-3700
Fax Number
219-759-1197
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3630 Willowcreek Rd
City
State
Zip
46368-5075
Phone Number
219-364-3700
Fax Number
219-759-1197
person
Provider Business Mailing Address Details
Address
3630 Willowcreek Rd
City
State
Zip
46368-5075
Phone Number
219-364-3700
Fax Number
219-759-1197
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71009590A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
School
Taxonomy
License No.
28163831A (Indiana)
Definition
Definition to come...
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