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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790353035 NPPES
Idaho MEDICAID 106S00000X

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