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
Phone: (208) 404-4853
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467693499 | NPPES |
Idaho | MEDICAID | PENDING |
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