Cleveland, Sharon

Cleveland, Sharon is an individual health care provider with primary practice located at 834 Falls Ave Ste 1280 , Twin Falls ID 83301-3364. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cleveland, Sharon can be contacted via phone (208) 736-9990.

Contact Information

Primary practice address
834 Falls Ave Ste 1280 Twin Falls ID 83301-3364
Phone: (208) 736-9990
Fax: (208) 736-9995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0011848 Colorado

Profile Details

NPI number 1770706285
LBN Legal business name Cleveland, Sharon
Credentials L.C.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 1st, 2016 - about 8 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 1770706285 NPPES
Idaho Other X5663 BLU CROSS
Idaho Other 481086633 BLU CROSS
Idaho MEDICAID 805997100 BLU CROSS
Idaho Other 000010003974 BLU CROSS

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