Detemple, Eliza
Detemple, Eliza is an sole proprietor health care provider with primary practice located at 859 S Yellowstone Hwy Ste 202 , Rexburg ID 83440-5294. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Detemple, Eliza can be contacted via phone (307) 257-5487.Contact Information
Primary practice address
859 S Yellowstone Hwy Ste 202
Rexburg ID 83440-5294
Phone: (307) 257-5487
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1699540393 |
|---|---|
| LBN Legal business name | Detemple, Eliza |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2023 |
| Last updated | Nov 22nd, 2023 - about last year |
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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