Skidmore, Janadell

Skidmore, Janadell is an individual health care provider with primary practice located at 3456 E 17Th St Suite 190, Ammon ID 83406-6757. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Skidmore, Janadell can be contacted via phone (208) 552-9174.

Contact Information

Primary practice address
3456 E 17Th St Suite 190 Ammon ID 83406-6757
Fax: (208) 552-9175
Website:

Health care specialties

Profile Details

NPI number 1295935963
LBN Legal business name Skidmore, Janadell
Credentials LMSW, ICADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Jun 10th, 2019 - about 6 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 1295935963 NPPES
Idaho Other 1160007 CADC
Idaho Other LMSW-27972 CADC

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