Falconburg, Wade M

Falconburg, Wade M is an sole proprietor health care provider with primary practice located at 202 2Nd Ave N Suite B, Twin Falls ID 83301-6158. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Falconburg, Wade M can be contacted via phone (208) 732-6112.

Contact Information

Primary practice address
202 2Nd Ave N Suite B Twin Falls ID 83301-6158
Phone: (208) 732-6112
Fax: (208) 732-6116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACADC-90 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28335 Idaho

Profile Details

NPI number 1891994307
LBN Legal business name Falconburg, Wade M
Credentials LCSW, ACADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2007
Last updated Oct 26th, 2016 - about 8 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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