Boughton, Craig F

Boughton, Craig F is an sole proprietor health care provider with primary practice located at 440 S Market Ave , Springfield MO 65806-2026. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Boughton, Craig F can be contacted via phone (417) 844-9119.

Contact Information

Primary practice address
440 S Market Ave Springfield MO 65806-2026
Phone: (417) 844-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2719 Missouri

Profile Details

NPI number 1104969237
LBN Legal business name Boughton, Craig F
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104969237 NPPES
Missouri MEDICAID 494634827

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