Averill, David
Averill, David is an sole proprietor health care provider with primary practice located at 4460 Kings Way Ste 2 , Chubbuck ID 83202-1900. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Averill, David can be contacted via phone (208) 237-1711.Contact Information
Primary practice address
4460 Kings Way Ste 2
Chubbuck ID 83202-1900
Phone: (208) 237-1711
Fax: (208) 237-5192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-3662 | Idaho |
Profile Details
| NPI number | 1023234614 |
|---|---|
| LBN Legal business name | Averill, David |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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