Macomb, Susan K
Macomb, Susan K is an sole proprietor health care provider with primary practice located at 500 S 11Th Ave, Ste 402A , Pocatello ID 83201-4880. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Macomb, Susan K can be contacted via phone (208) 242-2335.Contact Information
Primary practice address
500 S 11Th Ave, Ste 402A
Pocatello ID 83201-4880
Phone: (208) 242-2335
Fax: (208) 242-2344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3891 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-6826 | Idaho |
Profile Details
| NPI number | 1265624100 |
|---|---|
| LBN Legal business name | Macomb, Susan K |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Sep 6th, 2023 - about last year |
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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