Macneil, Megan Michelle
Macneil, Megan Michelle is an sole proprietor health care provider with primary practice located at 938 Poulson St , Idaho Falls ID 83401-2142. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Macneil, Megan Michelle can be contacted via phone (501) 513-7638.Contact Information
Primary practice address
938 Poulson St
Idaho Falls ID 83401-2142
Phone: (501) 513-7638
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1790353035 |
|---|---|
| LBN Legal business name | Macneil, Megan Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2021 |
| Last updated | Jun 14th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790353035 | NPPES |
| Idaho | MEDICAID | 106S00000X |
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