Bomse, Russell Keith
Bomse, Russell Keith is an sole proprietor health care provider with primary practice located at 90 Mar Kan Dr , Northport NY 11768-1858. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bomse, Russell Keith can be contacted via phone (631) 754-6192.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 009117-1 | New York |
Profile Details
| NPI number | 1780725705 |
|---|---|
| LBN Legal business name | Bomse, Russell Keith |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2007 |
| 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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