Ruth, Melissa Ann Brightstar

Ruth, Melissa Ann Brightstar is an individual health care provider with primary practice located at 112 12Th Ave Rd , Nampa ID 83686-5051. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ruth, Melissa Ann Brightstar can be contacted via phone (208) 465-5433.

Contact Information

Primary practice address
112 12Th Ave Rd Nampa ID 83686-5051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC3759 Idaho

Profile Details

NPI number 1467671966
LBN Legal business name Ruth, Melissa Ann Brightstar
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467671966 NPPES
Idaho Other 000010159326 REGENCE BLUE SHIELD

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