Bottum, Gregory Elisha
Bottum, Gregory Elisha is an sole proprietor health care provider with primary practice located at 9264 Madison Ave , Orangevale CA 95662-5858. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bottum, Gregory Elisha can be contacted via phone (916) 797-0695.Contact Information
Primary practice address
9264 Madison Ave
Orangevale CA 95662-5858
Phone: (916) 797-0695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 6405 | California |
Profile Details
| NPI number | 1639101736 |
|---|---|
| LBN Legal business name | Bottum, Gregory Elisha |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| 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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