Eatinger, Sandi De

Eatinger, Sandi De is an individual health care provider with primary practice located at 3422 S 15Th E , Idaho Falls ID 83404-8262. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eatinger, Sandi De can be contacted via phone (208) 552-1222.

Contact Information

Primary practice address
3422 S 15Th E Idaho Falls ID 83404-8262
Phone: (208) 552-1222
Fax: (208) 552-3377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-1502 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW27315 Idaho

Profile Details

NPI number 1831270594
LBN Legal business name Eatinger, Sandi De
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831270594 NPPES
Idaho Other L5931 IDAHO BLUE CROSS PIN
Idaho Other 82052319683404B005 IDAHO BLUE CROSS PIN
Idaho MEDICAID 805384500 IDAHO BLUE CROSS PIN

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