Michener, Mary Christine
Michener, Mary Christine is an sole proprietor health care provider with primary practice located at 1525 Addison Ave E Ste 6 , Twin Falls ID 83301-5383. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Michener, Mary Christine can be contacted via phone (208) 420-1316.Contact Information
Primary practice address
1525 Addison Ave E Ste 6
Twin Falls ID 83301-5383
Phone: (208) 420-1316
Fax: (208) 733-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1400 | Idaho |
Profile Details
| NPI number | 1386710069 |
|---|---|
| LBN Legal business name | Michener, Mary Christine |
| Credentials | M.S. CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386710069 | NPPES |
| Idaho | Other | 000010141489 | BLUE SHIELD PROVIDER NUMB |
| Idaho | Other | SP656 | BLUE SHIELD PROVIDER NUMB |
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