A New Leaf, Inc
LBN: A New Leaf, Inc
A New Leaf, Inc is an health care organization with primary practice located at 2548 N Stokesberry Pl , Meridian ID 83646-1144. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
A New Leaf, Inc can be contacted via phone (208) 695-6355, or through Crownover, Brian Keith via phone (208) 695-6355.
Contact Information
Primary practice address
2548 N Stokesberry Pl
Meridian ID 83646-1144
Phone: (208) 695-6355
Fax: (208) 939-5599
Website:
Authorized official contact:
Name: Crownover, Brian Keith Doctor of Medicine (MD)
Phone: (208) 695-6355
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-1080 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M11819 | Idaho |
Profile Details
| NPI number | 1629492814 |
|---|---|
| LBN Legal business name | A New Leaf, Inc |
| DBA Doing business as | |
| Authorized official | Crownover, Brian Keith Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 10th, 2014 |
| Last updated | Feb 10th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629492814 | NPPES |
| Idaho | MEDICAID | 1114063344 |
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