Daughenbaugh, Robert William

Daughenbaugh, Robert William is an sole proprietor health care provider with primary practice located at 3420 E Shea Blvd , Phoenix AZ 85028-3345. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Daughenbaugh, Robert William can be contacted via phone (602) 730-5206.

Contact Information

Primary practice address
3420 E Shea Blvd Phoenix AZ 85028-3345
Phone: (602) 730-5206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 155280 Arizona

Profile Details

NPI number 1598362535
LBN Legal business name Daughenbaugh, Robert William
Credentials LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2020
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598362535 NPPES
Arizona Other 155280 LICENSED INDEPENDENT SUBSTANCE ABUSE COUNSELOR

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