Bobulsky, Kathleen C

Bobulsky, Kathleen C is an sole proprietor health care provider with primary practice located at 7232 Justin Way , Mentor OH 44060-4881. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bobulsky, Kathleen C can be contacted via phone (440) 578-8200.

Contact Information

Primary practice address
7232 Justin Way Mentor OH 44060-4881
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-0003383 Ohio

Profile Details

NPI number 1881739159
LBN Legal business name Bobulsky, Kathleen C
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Feb 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881739159 NPPES
Ohio MEDICAID 0187786

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