Bunten, Kevin S.
Bunten, Kevin S. is an sole proprietor health care provider with primary practice located at 785 Wall St Ste 200 , O Fallon IL 62269-1959. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bunten, Kevin S. can be contacted via phone (618) 367-2194.Contact Information
Primary practice address
785 Wall St Ste 200
O Fallon IL 62269-1959
Phone: (618) 367-2194
Fax: (618) 726-2024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.011138 | Illinois |
Profile Details
| NPI number | 1457865164 |
|---|---|
| LBN Legal business name | Bunten, Kevin S. |
| Credentials | MSED, MDIV, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2017 |
| Last updated | Nov 17th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457865164 | NPPES |
| Illinois | Other | PENDING | PENDING |
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