Bomgardner, Clyde David

Bomgardner, Clyde David is an individual health care provider with primary practice located at 200 S. Progress Avenue , Harrisburg PA 17109-4638. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bomgardner, Clyde David can be contacted via phone (717) 526-4889.

Contact Information

Primary practice address
200 S. Progress Avenue Harrisburg PA 17109-4638
Phone: (717) 526-4889
Fax: (717) 671-9149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1487888467
LBN Legal business name Bomgardner, Clyde David
Credentials MA, MDIV
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2009
Last updated May 6th, 2009 - about 16 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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