Zomboreanu Boettcher, Ingrid
Zomboreanu Boettcher, Ingrid is an sole proprietor health care provider with primary practice located at 21885 Dunham Rd. Mccmh - Srs Ste 5, Clinton Twp. MI 48036. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Zomboreanu Boettcher, Ingrid can be contacted via phone (586) 469-6606.Contact Information
Primary practice address
21885 Dunham Rd. Mccmh - Srs Ste 5
Clinton Twp. MI 48036
Phone: (586) 469-6606
Fax: (586) 469-6364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801080115 | Michigan |
Profile Details
| NPI number | 1205975877 |
|---|---|
| LBN Legal business name | Zomboreanu Boettcher, Ingrid |
| Credentials | MSW, LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1205975877 | NPPES |
| Michigan | Other | 6801080115 | STATE OF MI, BOARD OF SW |
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