Homer, David Charles

Homer, David Charles is an individual health care provider with primary practice located at 586 1St St , Idaho Falls ID 83401-3963. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Homer, David Charles can be contacted via phone (208) 529-2920.

Contact Information

Primary practice address
586 1St St Idaho Falls ID 83401-3963
Phone: (208) 529-2920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW-26798 Idaho

Profile Details

NPI number 1649336488
LBN Legal business name Homer, David Charles
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649336488 NPPES
Idaho Other LSW-26798 LSW NUMBER

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