Fisher, Corrine Tafoya
Fisher, Corrine Tafoya is an individual health care provider with primary practice located at 16 12Th Ave So Suite 103, Nampa ID 83651. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fisher, Corrine Tafoya can be contacted via phone (208) 461-3720.Contact Information
Primary practice address
16 12Th Ave So Suite 103
Nampa ID 83651
Phone: (208) 461-3720
Fax: (208) 461-1787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW562 | Idaho |
Profile Details
| NPI number | 1285759118 |
|---|---|
| LBN Legal business name | Fisher, Corrine Tafoya |
| Credentials | ACSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285759118 | NPPES |
| Idaho | MEDICAID | 807292400 | |
| Idaho | Other | 8M061 | |
| Idaho | Other | E5428 |
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