Jaeger, Ellen Louise

Jaeger, Ellen Louise is an individual health care provider with primary practice located at 1115 Ironwood Drive , Coeur D Alene ID 83814-4936. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jaeger, Ellen Louise can be contacted via phone (208) 765-0955.

Contact Information

Primary practice address
1115 Ironwood Drive Coeur D Alene ID 83814-4936
Phone: (208) 765-0955
Fax: (208) 765-6972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY202116 Idaho

Profile Details

NPI number 1356435614
LBN Legal business name Jaeger, Ellen Louise
Credentials PHD LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1356435614 NPPES
Other 000010145796 BLUE CROSS BLUE SHIELD
Other N5822 BLUE CROSS BLUE SHIELD

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