DR. CATHERINE JOHNSON BOGOLUB


Address: 1424 Lincoln Ave, Saint Paul, MN 55105-2216
Phone: 6514706135

DR. CATHERINE JOHNSON BOGOLUB (NPI# 1801106067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801106067
Entity Type Individual
Full Name DR. CATHERINE JOHNSON BOGOLUB
Credential M.D. , M.S.
Practice Address 1424 Lincoln Ave
Saint Paul
MN 55105-2216
Practice Telephone 6514706135
Practice Fax Number 6513440445
Mailing Telephone 6514706135
Mailing Fax Number 6513440445
Enumeration Date 2010-10-20
Last Update Date 2010-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133N00000X Nutritionist N198 MN Dietary & Nutritional Service Providers
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
N198 MN Dietary & Nutritional Service Providers

Office Location

Street Address 1424 LINCOLN AVE
City SAINT PAUL
State MN
Zip Code 55105-2216

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689953143 Patrick A Tschida Nutritionist 1573 Arundel St, Suite 204, Saint Paul, MN 55117-3596 2011-08-15
1780811323 Howard County Medical Center Nutritionist 1113 Sherman St, Saint Paul, NE 68873 2009-06-22

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NPI Name Taxonomy Address Enumeration
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1912388067 Marcie Michelle Vaske Nutritionist 2392 Harvest Way, Chanhassen, MN 55317-8444 2015-06-15
1801211586 Jillyne Bobrowsky Nutritionist 8042 Victoria Drive, Victoria, MN 55386 2014-03-04
1124239843 Dorie Marian Buck Nutritionist 720 Spruce St Ne, Hutchinson, MN 55350-1260 2007-05-24
1154497634 Michelle R. Didio Nutritionist 2945 Hazelwood St, Maplewood, MN 55109-1241 2006-11-28
1871909242 Tiffany Flaten Nutritionist 9201 Quaday Ave Ne Ste 205, Otsego, MN 55330-6604 2014-07-07
1538403365 Youth Determined To Succeed Nutritionist 3333 N 4th St, Minneapolis, MN 55412-2615 2012-11-16
1609173319 Pamela Wales Nutritionist 1501 Broadway St, Alexandria, MN 56308-2537 2011-02-15
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Competitor

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City SAINT PAUL
Zip Code 55105

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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