Glick, Holly Mariah

Glick, Holly Mariah is an individual health care provider with primary practice located at 1248 E 17Th St , Idaho Falls ID 83404-6147. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Glick, Holly Mariah can be contacted via phone (208) 542-1026.

Contact Information

Primary practice address
1248 E 17Th St Idaho Falls ID 83404-6147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1750975546
LBN Legal business name Glick, Holly Mariah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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 1750975546 NPPES
Idaho MEDICAID 00000

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