Bomberg, Kelly
Bomberg, Kelly is an sole proprietor health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Bomberg, Kelly can be contacted via phone (651) 777-5222.Contact Information
Primary practice address
7066 Stillwater Blvd N
Oakdale MN 55128-3937
Phone: (651) 777-5222
Fax: (651) 770-6834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2686 | Minnesota |
Profile Details
NPI number | 1821469222 |
---|---|
LBN Legal business name | Bomberg, Kelly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 12th, 2015 |
Last updated | Oct 12th, 2015 - 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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