Mathes, Elizabeth

Mathes, Elizabeth is an sole proprietor health care provider with primary practice located at 118 N 7Th St Ste C4 , Coeur D Alene ID 83814-2736. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mathes, Elizabeth can be contacted via phone (208) 676-8884.

Contact Information

Primary practice address
118 N 7Th St Ste C4 Coeur D Alene ID 83814-2736
Phone: (208) 676-8884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC 200 Idaho

Profile Details

NPI number 1215055868
LBN Legal business name Mathes, Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2007 - about 17 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 1215055868 NPPES
Idaho Other Q4590 BLUE CROSS OF IDAHO

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