Boyenga, Kirk W
Boyenga, Kirk W is an individual health care provider with primary practice located at 1124 South Sixth Street , Springfield IL 62703-0406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boyenga, Kirk W can be contacted via phone (217) 523-3143.Contact Information
Primary practice address
1124 South Sixth Street
Springfield IL 62703-0406
Phone: (217) 523-3143
Fax: (217) 523-7695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1568500056 |
|---|---|
| LBN Legal business name | Boyenga, Kirk W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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