Boggs, Jill Michelle

Boggs, Jill Michelle is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boggs, Jill Michelle can be contacted via phone (606) 784-4161.

Contact Information

Primary practice address
321 E Main St Morehead KY 40351-1671
Fax: (606) 783-9952
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3778 Kentucky

Profile Details

NPI number 1265523385
LBN Legal business name Boggs, Jill Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 6th, 2014 - about 10 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 1265523385 NPPES
Other 11726244 CAQH
Other 2514479 CAQH
MEDICAID 7100281140 CAQH
Other 610661987006 CAQH
Other 000000350188 CAQH

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