Whitlock, Alan J.
Whitlock, Alan J. is an sole proprietor health care provider with primary practice located at 814 S Washington St , Moscow ID 83843-3049. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Whitlock, Alan J. can be contacted via phone (208) 883-4026.Contact Information
Primary practice address
814 S Washington St
Moscow ID 83843-3049
Phone: (208) 883-4026
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY 340 | Idaho |
Profile Details
| NPI number | 1174533525 |
|---|---|
| LBN Legal business name | Whitlock, Alan J. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174533525 | NPPES |
| Idaho | Other | N3405 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010017398 | BLUE CROSS OF IDAHO |
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