Bean, Samuel

Bean, Samuel is an individual health care provider with primary practice located at 4232 N Waterford Pl , Boise ID 83703-3490. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bean, Samuel can be contacted via phone (208) 871-2102.

Contact Information

Primary practice address
4232 N Waterford Pl Boise ID 83703-3490
Phone: (208) 871-2102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1003570540
LBN Legal business name Bean, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2021
Last updated Oct 29th, 2021 - about 4 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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