Bukovsky, Martin Edward-John
Bukovsky, Martin Edward-John is an sole proprietor health care provider with primary practice located at 155 Ne Wax Myrtle Loop , Yachats OR 97498-9427. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Bukovsky, Martin Edward-John can be contacted via phone (541) 351-5737.Contact Information
Primary practice address
155 Ne Wax Myrtle Loop
Yachats OR 97498-9427
Phone: (541) 351-5737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 190058892 | California |
Profile Details
| NPI number | 1467124339 |
|---|---|
| LBN Legal business name | Bukovsky, Martin Edward-John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2021 |
| Last updated | Sep 29th, 2021 - about 4 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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