Bogdan, Robert
Bogdan, Robert is an sole proprietor health care provider with primary practice located at 451 3Rd Ave , Kingston PA 18704-5802. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bogdan, Robert can be contacted via phone (570) 899-8171.Contact Information
Primary practice address
451 3Rd Ave
Kingston PA 18704-5802
Phone: (570) 899-8171
Fax: (570) 718-0421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014619 | Pennsylvania |
Profile Details
| NPI number | 1518034859 |
|---|---|
| LBN Legal business name | Bogdan, Robert |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jun 12th, 2019 - about 6 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 | 1518034859 | NPPES |
| Pennsylvania | MEDICAID | 1023217240001 |
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