Boggs, Karin Denise
Boggs, Karin Denise is an sole proprietor health care provider with primary practice located at 4113A Highway 180 East Suite C, Mineral Wells TX 76067. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Boggs, Karin Denise can be contacted via phone (940) 325-3402.Contact Information
Primary practice address
4113A Highway 180 East Suite C
Mineral Wells TX 76067
Phone: (940) 325-3402
Fax: (940) 325-3408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12289 | Texas |
Profile Details
| NPI number | 1710367305 |
|---|---|
| LBN Legal business name | Boggs, Karin Denise |
| Credentials | LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Jun 9th, 2015 - about 10 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 | 1710367305 | NPPES |
| Texas | MEDICAID | 148686201 |
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