Baldree, Brent F

Baldree, Brent F is an sole proprietor health care provider with primary practice located at 1842 1St St , Idaho Falls ID 83401-4415. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Baldree, Brent F can be contacted via phone (208) 552-5707.

Contact Information

Primary practice address
1842 1St St Idaho Falls ID 83401-4415
Phone: (208) 552-5707
Fax: (208) 552-5709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY377 Idaho

Profile Details

NPI number 1982712956
LBN Legal business name Baldree, Brent F
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1982712956 NPPES
Idaho Other N6286 BLUE CROSS
Idaho Other 000010155984 BLUE CROSS

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