Smith, Richard Vaughn
Smith, Richard Vaughn is an sole proprietor health care provider with primary practice located at 526 M. Shoup Ave. W. Ste.#1 , Twin Falls ID 83301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Richard Vaughn can be contacted via phone (208) 734-0447.Contact Information
Primary practice address
526 M. Shoup Ave. W. Ste.#1
Twin Falls ID 83301
Phone: (208) 734-0447
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY73 | Idaho |
Profile Details
| NPI number | 1326232539 |
|---|---|
| LBN Legal business name | Smith, Richard Vaughn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Aug 30th, 2007 - about 17 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 | 1326232539 | NPPES |
| Idaho | Other | N0732 | BLX OF IDAHO |
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