Ford, Sheryl R

Ford, Sheryl R is an individual health care provider with primary practice located at 3225 W Bavaria St Ste 123 , Eagle ID 83616-5547. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ford, Sheryl R can be contacted via phone (208) 350-1576.

Contact Information

Primary practice address
3225 W Bavaria St Ste 123 Eagle ID 83616-5547
Phone: (208) 350-1576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6409 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-31214 Idaho

Profile Details

NPI number 1366979486
LBN Legal business name Ford, Sheryl R
Credentials LCSW, ACH
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2017
Last updated Feb 9th, 2018 - about 6 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 1366979486 NPPES
Idaho Other LCSW-31214 STATE LICENSE
Idaho Other 6409 STATE LICENSE

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