Jessica Marie Bogner
Lactation Consultant
304 N Railroad St
Sparland
, Illinois 61565-9807
Jessica Marie Bogner
Lactation Consultant
304 N Railroad St
Sparland
, Illinois 61565-9807
(309) 238-5374
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Jessica Marie Bogner
- 304 N Railroad St
- Sparland, IL
- Zip : 61565-9807
- Phone : (309) 238-5374
Second Address
- Jessica Marie Bogner
- 304 N Railroad St
- Sparland, IL
- Zip : 61565-9807
- Phone : (309) 238-5374
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 174N00000X | Lactation Consultant | IL |
National Provider Identifier
| NPI | 1003300070 |
|---|---|
| Provider Name | Jessica Marie Bogner |
| First Address | Sparland, IL 61565-9807 |
| Second Address | Sparland, IL 61565-9807 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2018 |
| Last Update Date | 21/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.