Provider Demographics
NPI:1730964800
Name:BUGBEE MD LLC
Entity type:Organization
Organization Name:BUGBEE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-675-9173
Mailing Address - Street 1:31024 471ST AVE
Mailing Address - Street 2:
Mailing Address - City:BERESFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57004-6468
Mailing Address - Country:US
Mailing Address - Phone:605-675-9173
Mailing Address - Fax:
Practice Address - Street 1:31024 471ST AVE
Practice Address - Street 2:
Practice Address - City:BERESFORD
Practice Address - State:SD
Practice Address - Zip Code:57004-6468
Practice Address - Country:US
Practice Address - Phone:605-675-9173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty