Dodge, Katie J

Dodge, Katie J is an individual health care provider with primary practice located at 242 E 7Th N Ste 4 , Rexburg ID 83440-3550. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Dodge, Katie J can be contacted via phone (208) 359-9683.

Contact Information

Primary practice address
242 E 7Th N Ste 4 Rexburg ID 83440-3550
Phone: (208) 359-9683
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X COUL-9249 Idaho
Behavioral Health & Social Service Providers / School 101YS0200X COUL-9249 Idaho

Profile Details

NPI number 1750095600
LBN Legal business name Dodge, Katie J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2023
Last updated Jan 5th, 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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