Bockheim, Linda Renee
Bockheim, Linda Renee is an individual health care provider with primary practice located at 425 2Nd Ave Sw Ste 204 , Albany OR 97321-2485. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bockheim, Linda Renee can be contacted via phone (541) 248-9153.Contact Information
Primary practice address
425 2Nd Ave Sw Ste 204
Albany OR 97321-2485
Phone: (541) 248-9153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2935 | Oregon |
Profile Details
| NPI number | 1013417286 |
|---|---|
| LBN Legal business name | Bockheim, Linda Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2018 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013417286 | NPPES |
| Oregon | MEDICAID | 500743734 | |
| Oregon | MEDICAID | 500761237 |
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