Bogucki, Keith David

Bogucki, Keith David is an individual health care provider with primary practice located at 1049 Newell P.O. Box 867, White Cloud MI 49349. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bogucki, Keith David can be contacted via phone (231) 689-7330.

Contact Information

Primary practice address
1049 Newell P.O. Box 867 White Cloud MI 49349
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801101915 Michigan

Profile Details

NPI number 1306347356
LBN Legal business name Bogucki, Keith David
Credentials LLMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2018
Last updated Feb 26th, 2018 - about 8 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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