Garner, Blair K
Garner, Blair K is an sole proprietor health care provider with primary practice located at 2235 E 25Th St Ste 185 , Idaho Falls ID 83404-7539. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garner, Blair K can be contacted via phone (208) 522-1904.Contact Information
Primary practice address
2235 E 25Th St Ste 185
Idaho Falls ID 83404-7539
Phone: (208) 522-1904
Fax: (208) 522-8847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-582 | Idaho |
Profile Details
| NPI number | 1821148537 |
|---|---|
| LBN Legal business name | Garner, Blair K |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Dec 21st, 2011 - about 13 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 | 1821148537 | NPPES |
| Idaho | Other | 000010015892 | BLUE SHIELD PROVIDER NUMB |
| Idaho | Other | L5824 | BLUE SHIELD PROVIDER NUMB |
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