Bauer, Michele Moore
Bauer, Michele Moore is an individual health care provider with primary practice located at 1044 Northwest Blvd Ste C , Coeur D Alene ID 83814-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bauer, Michele Moore can be contacted via phone (208) 930-1740.Contact Information
Primary practice address
1044 Northwest Blvd Ste C
Coeur D Alene ID 83814-2114
Phone: (208) 930-1740
Fax: (208) 930-1695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW28311 | Idaho |
Profile Details
| NPI number | 1932320843 |
|---|---|
| LBN Legal business name | Bauer, Michele Moore |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Oct 1st, 2019 - about 6 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 | 1932320843 | NPPES |
| Other | 1932320843 | NPI |
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