Elder, Jeffrey Lee
Elder, Jeffrey Lee is an sole proprietor health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Elder, Jeffrey Lee can be contacted via phone (208) 359-4840.Contact Information
Primary practice address
393 E 2Nd N
Rexburg ID 83440-1605
Phone: (208) 359-4840
Fax: (208) 359-9010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY-202664 | Idaho |
Profile Details
| NPI number | 1841542982 |
|---|---|
| LBN Legal business name | Elder, Jeffrey Lee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2012 |
| Last updated | Jul 2nd, 2021 - about 4 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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