Van Bogaert, Detza Ericka
Van Bogaert, Detza Ericka is an individual health care provider with primary practice located at 2929 E Thomas Rd , Phoenix AZ 85016-8034. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Van Bogaert, Detza Ericka can be contacted via phone (602) 470-5043.Contact Information
Primary practice address
2929 E Thomas Rd
Phoenix AZ 85016-8034
Phone: (602) 470-5043
Fax: (602) 470-5064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | LMSW-13670 | Arizona |
Profile Details
| NPI number | 1851716757 |
|---|---|
| LBN Legal business name | Van Bogaert, Detza Ericka |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2014 |
| Last updated | Feb 28th, 2014 - about 11 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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