Smidt, Jim
Smidt, Jim is an sole proprietor health care provider with primary practice located at 820 N William St , Post Falls ID 83854-5123. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Smidt, Jim can be contacted via phone (208) 755-0660.Contact Information
Primary practice address
820 N William St
Post Falls ID 83854-5123
Phone: (208) 755-0660
Fax: (208) 777-7691
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 46949 | Idaho |
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1720620750 |
---|---|
LBN Legal business name | Smidt, Jim |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2019 |
Last updated | Oct 22nd, 2021 - about 4 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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