Bornt, Robert K.
Bornt, Robert K. is an sole proprietor health care provider with primary practice located at 700 Chief Eddie Hoffman Hwy 150, Bethel AK 99559. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Bornt, Robert K. can be contacted via phone (907) 843-2661.Contact Information
Primary practice address
700 Chief Eddie Hoffman Hwy 150
Bethel AK 99559
Phone: (907) 843-2661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MFC43663 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 261 | Alaska |
Profile Details
| NPI number | 1962682054 |
|---|---|
| LBN Legal business name | Bornt, Robert K. |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2007 |
| Last updated | Oct 5th, 2012 - about 14 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 | 1962682054 | NPPES |
| Alaska | MEDICAID | MH0150 |
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