Cunningham, Brent R
Cunningham, Brent R is an sole proprietor health care provider with primary practice located at 284 Martin St , Twin Falls ID 83301-4542. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cunningham, Brent R can be contacted via phone (208) 420-9952.Contact Information
Primary practice address
284 Martin St
Twin Falls ID 83301-4542
Phone: (208) 420-9952
Fax: (208) 423-7029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7726920-6006 | Utah |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1021897 CADC | Idaho |
Profile Details
| NPI number | 1740571363 |
|---|---|
| LBN Legal business name | Cunningham, Brent R |
| Credentials | CADC, LSAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2011 |
| Last updated | Apr 30th, 2011 - about 14 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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