Humphreys, Shelly Rae

Humphreys, Shelly Rae is an sole proprietor health care provider with primary practice located at 331 S Main St , Soda Springs ID 83276-1629. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Humphreys, Shelly Rae can be contacted via phone (208) 530-0326.

Contact Information

Primary practice address
331 S Main St Soda Springs ID 83276-1629
Phone: (208) 530-0326
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Idaho

Profile Details

NPI number 1467113423
LBN Legal business name Humphreys, Shelly Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2022
Last updated Jan 3rd, 2022 - about 4 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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