Kong, Bosseba
Kong, Bosseba is an sole proprietor health care provider with primary practice located at 1100 Kansas Ave Suite A, Modesto CA 95351-1596. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kong, Bosseba can be contacted via phone (209) 558-7475.Contact Information
Primary practice address
1100 Kansas Ave Suite A
Modesto CA 95351-1596
Phone: (209) 558-7475
Fax: (209) 558-4042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1041C0700X | California |
Profile Details
| NPI number | 1336278993 |
|---|---|
| LBN Legal business name | Kong, Bosseba |
| Credentials | LCS 16696 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 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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