Andersen, Thayne
Andersen, Thayne is an sole proprietor health care provider with primary practice located at 717 Mission Road , Fort Hall ID 83203-0306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Andersen, Thayne can be contacted via phone (208) 237-5631.Contact Information
Primary practice address
717 Mission Road
Fort Hall ID 83203-0306
Phone: (208) 237-5631
Fax: (208) 237-5796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-27518 | Idaho |
Profile Details
| NPI number | 1194909952 |
|---|---|
| LBN Legal business name | Andersen, Thayne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Dec 28th, 2007 - about 19 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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