Morrissette, Matthew P
Morrissette, Matthew P is an sole proprietor health care provider with primary practice located at 943 W. Overland Rd. Ste 126, Meridian ID 83642-8600. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Morrissette, Matthew P can be contacted via phone (208) 926-2046.Contact Information
Primary practice address
943 W. Overland Rd. Ste 126
Meridian ID 83642-8600
Phone: (208) 926-2046
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-2797 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-3444 | Idaho |
Profile Details
| NPI number | 1083776256 |
|---|---|
| LBN Legal business name | Morrissette, Matthew P |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083776256 | NPPES |
| Idaho | Other | 000010157489 | REGENCE BLUE SHIELD |
| Idaho | Other | Q7362 | REGENCE BLUE SHIELD |
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