Bougor, Shyla Rose
Bougor, Shyla Rose is an individual health care provider with primary practice located at 10257 State Route 3 , Red Bud IL 62278-4418. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bougor, Shyla Rose can be contacted via phone (618) 282-6233.Contact Information
Primary practice address
10257 State Route 3
Red Bud IL 62278-4418
Phone: (618) 282-6233
Fax: (888) 388-1971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180015824 | Illinois |
Profile Details
| NPI number | 1295380863 |
|---|---|
| LBN Legal business name | Bougor, Shyla Rose |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2019 |
| Last updated | May 16th, 2024 - about last year |
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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