Boley, Bridget Ann
Boley, Bridget Ann is an sole proprietor health care provider with primary practice located at 402 S Silver Springs Rd , Cape Girardeau MO 63703-7536. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boley, Bridget Ann can be contacted via phone (573) 334-1100.Contact Information
Primary practice address
402 S Silver Springs Rd
Cape Girardeau MO 63703-7536
Phone: (573) 334-1100
Fax: (573) 651-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2014015191 | Missouri |
Profile Details
| NPI number | 1013271758 |
|---|---|
| LBN Legal business name | Boley, Bridget Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2012 |
| Last updated | Sep 17th, 2024 - about 2 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 | 1013271758 | NPPES |
| Missouri | MEDICAID | 1013271758 |
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