Tueller, Thomas E.

Tueller, Thomas E. is an sole proprietor health care provider with primary practice located at 2275 W Broadway St Ste G , Idaho Falls ID 83402-2902. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Tueller, Thomas E. can be contacted via phone (208) 524-7400.

Contact Information

Primary practice address
2275 W Broadway St Ste G Idaho Falls ID 83402-2902
Phone: (208) 524-7400
Fax: (208) 524-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-859 Idaho

Profile Details

NPI number 1740321314
LBN Legal business name Tueller, Thomas E.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated May 9th, 2022 - about 3 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 1740321314 NPPES
Idaho MEDICAID 1740321314

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