Pangburn, Carol
Pangburn, Carol is an sole proprietor health care provider with primary practice located at 3042 S Whitepost Way , Eagle ID 83616-6461. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pangburn, Carol can be contacted via phone (208) 939-7514.Contact Information
Primary practice address
3042 S Whitepost Way
Eagle ID 83616-6461
Phone: (208) 939-7514
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC 168 | Idaho |
Profile Details
| NPI number | 1205978095 |
|---|---|
| LBN Legal business name | Pangburn, Carol |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jan 13th, 2008 - about 16 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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