Bousson, Mitchell Allen

Bousson, Mitchell Allen is an individual health care provider with primary practice located at 500 N 9Th St , Modesto CA 95350-5814. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bousson, Mitchell Allen can be contacted via phone (209) 558-4598.

Contact Information

Primary practice address
500 N 9Th St Modesto CA 95350-5814
Phone: (209) 558-4598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95273030 California

Profile Details

NPI number 1710748488
LBN Legal business name Bousson, Mitchell Allen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 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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