Gage, Katherine A
Gage, Katherine A is an individual health care provider with primary practice located at 222 Southway Suite C, Lewiston ID 83501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gage, Katherine A can be contacted via phone (208) 746-1333.Contact Information
Primary practice address
222 Southway Suite C
Lewiston ID 83501
Phone: (208) 746-1333
Fax: (208) 746-8090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW 789 | Idaho |
Profile Details
| NPI number | 1477640811 |
|---|---|
| LBN Legal business name | Gage, Katherine A |
| Credentials | MSW LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1477640811 | NPPES |
| Idaho | Other | 000010142303 | BCBS |
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