Shirley, Stephanie
Shirley, Stephanie is an sole proprietor health care provider with primary practice located at 3315 E. Chasewood Drive , Ammon ID 83406-0000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shirley, Stephanie can be contacted via phone (208) 269-6606.Contact Information
Primary practice address
3315 E. Chasewood Drive
Ammon ID 83406-0000
Phone: (208) 269-6606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 37389 | Idaho |
Profile Details
| NPI number | 1174980916 |
|---|---|
| LBN Legal business name | Shirley, Stephanie |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2016 |
| Last updated | Jan 10th, 2024 - about last year |
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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