CASSANDRA BOGGON
NPI 1770803496
Specialist in Detroit, MI
- Individual
- Female
- Specialist
About CASSANDRA BOGGON
This page provides the complete NPI Profile along with additional information for Cassandra Boggon, a provider established in Detroit, Michigan with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1770803496 assigned on June 2010. The practitioner's primary taxonomy code is 174400000X with license number 2701115101 (MI). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1770803496 Verify this NPI
- Provider Name
- CASSANDRA BOGGON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 16203 WYOMING ST DETROIT, MI 48221
- Location Phone
- (313) 864-2788
- Location Fax
- (866) 267-7903
- Mailing Address
- 8457 BRACE ST DETROIT, MI 48228
- Mailing Phone
- (734) 334-0208
- Mailing Fax
- (866) 267-7903
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-03-2010
- Last Update Date
- 06-03-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 2701115101
- License State
- MI
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770803496, enumerated as an "individual" on June 03, 2010.
The provider is located at 16203 WYOMING ST DETROIT, MI 48221 and the phone number is (313) 864-2788.
Specialist with taxonomy code 174400000X.
