Smith, Taylor Daisy
Smith, Taylor Daisy is an sole proprietor health care provider with primary practice located at 122 Delaware Ave Apt B , Nampa ID 83651-2801. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Smith, Taylor Daisy can be contacted via phone (208) 761-3470.Contact Information
Primary practice address
122 Delaware Ave Apt B
Nampa ID 83651-2801
Phone: (208) 761-3470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1720654387 |
|---|---|
| LBN Legal business name | Smith, Taylor Daisy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720654387 | NPPES |
| Idaho | Other | 87-0986669 | IRS |
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