Osmonson, Patrick Joseph
Osmonson, Patrick Joseph is an sole proprietor health care provider with primary practice located at 3504 Gloria Ave , Bullhead City AZ 86442-8107. 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. Osmonson, Patrick Joseph can be contacted via phone (928) 419-1627.Contact Information
Primary practice address
3504 Gloria Ave
Bullhead City AZ 86442-8107
Phone: (928) 419-1627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CADC00795-C | Nevada |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC1619 | Arizona |
Profile Details
| NPI number | 1437646429 |
|---|---|
| LBN Legal business name | Osmonson, Patrick Joseph |
| Credentials | LISAC, CCTP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2018 |
| Last updated | Mar 16th, 2021 - about 5 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 | 1437646429 | NPPES |
| Other | 1437646429 | NPI |
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