Bottum-Morgan, Edwin B.
Bottum-Morgan, Edwin B. is an sole proprietor health care provider with primary practice located at 100 Tamal Plz Ste 195 , Corte Madera CA 94925-1181. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bottum-Morgan, Edwin B. can be contacted via phone (415) 927-4800.Contact Information
Primary practice address
100 Tamal Plz Ste 195
Corte Madera CA 94925-1181
Phone: (415) 927-4800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY9703 | California |
Profile Details
| NPI number | 1225119456 |
|---|---|
| LBN Legal business name | Bottum-Morgan, Edwin B. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 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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