Haubold, Linda Kukuk

Haubold, Linda Kukuk is an individual health care provider with primary practice located at 1139 E Front St , Traverse City MI 49686. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Haubold, Linda Kukuk can be contacted via phone (231) 947-7082.

Contact Information

Primary practice address
1139 E Front St Traverse City MI 49686
Fax: (231) 947-1911
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301008535 Michigan

Profile Details

NPI number 1649303454
LBN Legal business name Haubold, Linda Kukuk
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649303454 NPPES
Michigan Other 680B83299 BLUE CROSS BS

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