Bukolt, Deborah

Bukolt, Deborah is an sole proprietor health care provider with primary practice located at 2772 4Th Ave , San Diego CA 92103-6206. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Agencies / Community/Behavioral Health is her primary health care specialty. Bukolt, Deborah can be contacted via phone (619) 295-6067.

Contact Information

Primary practice address
2772 4Th Ave San Diego CA 92103-6206
Phone: (619) 295-6067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1174843072
LBN Legal business name Bukolt, Deborah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Jun 7th, 2011 - about 14 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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