Bischof, Gary H.

Bischof, Gary H. is an sole proprietor health care provider with primary practice located at 724 W Centre Ave Suite 207, Portage MI 49024-6310. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bischof, Gary H. can be contacted via phone (269) 569-0404.

Contact Information

Primary practice address
724 W Centre Ave Suite 207 Portage MI 49024-6310
Phone: (269) 569-0404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006184 Michigan

Profile Details

NPI number 1972625796
LBN Legal business name Bischof, Gary H.
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 19 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 1972625796 NPPES
Michigan Other 4101006184 LIC MFT

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