Bongar, Bruce
Bongar, Bruce is an sole proprietor health care provider with primary practice located at 1001 Bridgeway #311, Sausalito CA 94965-2104. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bongar, Bruce can be contacted via phone (415) 215-3797.Contact Information
Primary practice address
1001 Bridgeway #311
Sausalito CA 94965-2104
Phone: (415) 215-3797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY5669 | California |
Profile Details
| NPI number | 1679794093 |
|---|---|
| LBN Legal business name | Bongar, Bruce |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 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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