Nielsen, Tanner Mitchell
Nielsen, Tanner Mitchell is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 9 , Idaho Falls ID 83404-6371. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nielsen, Tanner Mitchell can be contacted via phone (208) 419-3002.Contact Information
Primary practice address
2001 S Woodruff Ave Ste 9
Idaho Falls ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-203073 | Idaho |
Profile Details
| NPI number | 1346574464 |
|---|---|
| LBN Legal business name | Nielsen, Tanner Mitchell |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2009 |
| Last updated | Nov 29th, 2022 - about 3 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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