Moulton, Craig

Moulton, Craig is an sole proprietor health care provider with primary practice located at 420 Cardinal Dr , Shelley ID 83274-4925. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Moulton, Craig can be contacted via phone (208) 243-4331.

Contact Information

Primary practice address
420 Cardinal Dr Shelley ID 83274-4925
Phone: (208) 243-4331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1346838729
LBN Legal business name Moulton, Craig
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 1st, 2021
Last updated Jan 1st, 2021 - about 4 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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