Bouska, Marvin Lee
Bouska, Marvin Lee is an sole proprietor health care provider with primary practice located at 1818 W Fulton St Suite 201, Rapid City SD 57702-4377. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bouska, Marvin Lee can be contacted via phone (605) 348-6500.Contact Information
Primary practice address
1818 W Fulton St Suite 201
Rapid City SD 57702-4377
Phone: (605) 348-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 191 | South Dakota |
Profile Details
| NPI number | 1730207952 |
|---|---|
| LBN Legal business name | Bouska, Marvin Lee |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Apr 25th, 2013 - about 11 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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