Schickedanz, Jason C

Schickedanz, Jason C is an sole proprietor health care provider with primary practice located at 4737 Afton Pl. Sanctuary Ntc Ste #A, Chubuck ID 83202. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Schickedanz, Jason C can be contacted via phone (208) 417-0623.

Contact Information

Primary practice address
4737 Afton Pl. Sanctuary Ntc Ste #A Chubuck ID 83202
Phone: (208) 417-0623
Fax: (208) 417-0641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-203074 Idaho

Profile Details

NPI number 1295041630
LBN Legal business name Schickedanz, Jason C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2010
Last updated Feb 27th, 2023 - about 2 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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