Hall, Daniel Jerome

Hall, Daniel Jerome is an individual health care provider with primary practice located at 717 Mission Road , Fort Hall ID 83203. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hall, Daniel Jerome can be contacted via phone (208) 237-5631.

Contact Information

Primary practice address
717 Mission Road Fort Hall ID 83203
Phone: (208) 237-5631
Fax: (208) 237-5796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW30964 Idaho

Profile Details

NPI number 1366847428
LBN Legal business name Hall, Daniel Jerome
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2014
Last updated Oct 30th, 2014 - about 12 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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