Clark, Peggy J
Clark, Peggy J is an individual health care provider with primary practice located at 1740 E 17Th St Ste B , Idaho Falls ID 83404-6375. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Clark, Peggy J can be contacted via phone (208) 529-8832.Contact Information
Primary practice address
1740 E 17Th St Ste B
Idaho Falls ID 83404-6375
Phone: (208) 529-8832
Fax: (208) 522-8725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LSW28036 | Idaho |
Profile Details
| NPI number | 1407032709 |
|---|---|
| LBN Legal business name | Clark, Peggy J |
| Credentials | LSW28036 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Jan 16th, 2008 - about 16 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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