Bommarito, Christy L
Bommarito, Christy L is an sole proprietor health care provider with primary practice located at 605 Shadywood Ln , Richardson TX 75080-6906. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bommarito, Christy L can be contacted via phone (972) 771-2545.Contact Information
Primary practice address
605 Shadywood Ln
Richardson TX 75080-6906
Phone: (972) 771-2545
Fax: (972) 771-2545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 30538 | Texas |
Profile Details
| NPI number | 1104816909 |
|---|---|
| LBN Legal business name | Bommarito, Christy L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jun 13th, 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 | 1104816909 | NPPES |
| Texas | Other | 0088CY | BLUE CROSS/BLUE SHIELD |
| Texas | MEDICAID | 096568301 | BLUE CROSS/BLUE SHIELD |
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