Smith, Olivia G
Smith, Olivia G is an individual health care provider with primary practice located at 2205 N Ironwood Pl , Coeur D Alene ID 83814-2487. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Smith, Olivia G can be contacted via phone (208) 664-8347.Contact Information
Primary practice address
2205 N Ironwood Pl
Coeur D Alene ID 83814-2487
Phone: (208) 664-8347
Fax: (844) 803-7399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | Idaho |
Profile Details
| NPI number | 1164063285 |
|---|---|
| LBN Legal business name | Smith, Olivia G |
| Credentials | CPSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2019 |
| Last updated | Dec 25th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164063285 | NPPES |
| Idaho | Other | 12355756730 | OPTUM |
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