Boogaard, Kyle David Leroy

Boogaard, Kyle David Leroy is an sole proprietor health care provider with primary practice located at 3033 Ingram St , Hoquiam WA 98550-4410. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Boogaard, Kyle David Leroy can be contacted via phone (360) 964-0444.

Contact Information

Primary practice address
3033 Ingram St Hoquiam WA 98550-4410
Phone: (360) 964-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1689285348
LBN Legal business name Boogaard, Kyle David Leroy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2020
Last updated Aug 14th, 2020 - about 5 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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