Bossardt, Richard L
Bossardt, Richard L is an sole proprietor health care provider with primary practice located at 2085 Thompson Rd , Coos Bay OR 97420-2085. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bossardt, Richard L can be contacted via phone (541) 269-5333.Contact Information
Primary practice address
2085 Thompson Rd
Coos Bay OR 97420-2085
Phone: (541) 269-5333
Fax: (541) 269-5609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 350194 | Oregon |
Profile Details
| NPI number | 1336245752 |
|---|---|
| LBN Legal business name | Bossardt, Richard L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 28th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336245752 | NPPES |
| Oregon | Other | 35 0194 | CLINICAL SOCIAL WORKERS |
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