Boeckman, Bob Byron
Boeckman, Bob Byron is an sole proprietor health care provider with primary practice located at 1940 Maple Ave B3, Costa Mesa CA 92627-5573. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Boeckman, Bob Byron can be contacted via phone (171) 454-3543.Contact Information
Primary practice address
1940 Maple Ave B3
Costa Mesa CA 92627-5573
Phone: (171) 454-3543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1972698603 |
|---|---|
| LBN Legal business name | Boeckman, Bob Byron |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| 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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