Snow, Mark E.

Snow, Mark E. is an individual health care provider with primary practice located at 311 N. Allumbaugh St , Boise ID 83704-9208. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Snow, Mark E. can be contacted via phone (208) 375-6402.

Contact Information

Primary practice address
311 N. Allumbaugh St Boise ID 83704-9208
Fax: (208) 323-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-61 Idaho

Profile Details

NPI number 1023162682
LBN Legal business name Snow, Mark E.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 30th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023162682 NPPES
Idaho Other 000010015907 REGENCE BLUE SHIELD
Idaho Other N0617 REGENCE BLUE SHIELD

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