Thomas, Michelle Lea

Thomas, Michelle Lea is an sole proprietor health care provider with primary practice located at 795 Walnut St N , Twin Falls ID 83301-4140. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Thomas, Michelle Lea can be contacted via phone (208) 404-4853.

Contact Information

Primary practice address
795 Walnut St N Twin Falls ID 83301-4140
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1467693499
LBN Legal business name Thomas, Michelle Lea
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2009
Last updated Mar 21st, 2009 - about 16 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 1467693499 NPPES
Idaho MEDICAID PENDING

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