Medlin, Delia
Medlin, Delia is an individual health care provider with primary practice located at 422 17Th St , Lewiston ID 83501-2526. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Medlin, Delia can be contacted via phone (208) 743-4680.Contact Information
Primary practice address
422 17Th St
Lewiston ID 83501-2526
Phone: (208) 743-4680
Fax: (208) 743-1756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY202098 | Idaho |
Profile Details
| NPI number | 1558354290 |
|---|---|
| LBN Legal business name | Medlin, Delia |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558354290 | NPPES |
| Idaho | Other | N5640 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010140817 | BLUE CROSS OF IDAHO |
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