Boeck, Bruce
Boeck, Bruce is an sole proprietor health care provider with primary practice located at 1100 Beech St #10 Normandy Village, Normal IL 61761-1493. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Boeck, Bruce can be contacted via phone (309) 454-2112.Contact Information
Primary practice address
1100 Beech St #10 Normandy Village
Normal IL 61761-1493
Phone: (309) 454-2112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1063614600 |
|---|---|
| LBN Legal business name | Boeck, Bruce |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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