Roberts, Mark West

Roberts, Mark West is an sole proprietor health care provider with primary practice located at 921 S 8Th Ave Garrison Hall 525 Stop 8021, Pocatello ID 83209-0002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Roberts, Mark West can be contacted via phone (208) 282-2129.

Contact Information

Primary practice address
921 S 8Th Ave Garrison Hall 525 Stop 8021 Pocatello ID 83209-0002
Phone: (208) 282-2129
Fax: (208) 282-5411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY-138 Idaho

Profile Details

NPI number 1336201342
LBN Legal business name Roberts, Mark West
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 18 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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