DR. CATHERINE JOHNSON BOGOLUB M.D. M.S. NPI 1801106067

NPI Information

NPI: 1801106067
Provider Name: DR. CATHERINE JOHNSON BOGOLUB, M.D. , M.S.
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

PECOS Registration: Yes

Address:
1424 LINCOLN AVE
SAINT PAUL, MN
ZIP 55105
Phone: (651) 470-6135
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DR. Catherine Johnson Bogolub, M.D. , M.S. is a nutrition and education nutritionist in Saint Paul, MN. DR. Catherine Johnson Bogolub, M.D. , M.S. NPI is 1801106067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1424 LINCOLN AVE
SAINT PAUL, MN
ZIP 55105-216
Phone: (651) 470-6135
Fax: (651) 344-0445

The NPI 1801106067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133N00000X	Nutritionist		N198	MINNESOTA	No
2	133NN1002X	Nutritionist	Nutrition, Education	N198	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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