Nelson, Stephen B

Nelson, Stephen B is an sole proprietor health care provider with primary practice located at 690 S Industry Way Ste 45 , Meridian ID 83642-7907. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Nelson, Stephen B can be contacted via phone (208) 278-6807.

Contact Information

Primary practice address
690 S Industry Way Ste 45 Meridian ID 83642-7907
Fax: (208) 493-4885
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-5279 Idaho
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCPC-6320 Idaho

Profile Details

NPI number 1215362009
LBN Legal business name Nelson, Stephen B
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2013
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215362009 NPPES
Idaho MEDICAID LCPC-6320

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