Bohnenkamp, Rebecca Ann
Bohnenkamp, Rebecca Ann is an sole proprietor health care provider with primary practice located at 609 Bryden Ave Ste B , Lewiston ID 83501-5193. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bohnenkamp, Rebecca Ann can be contacted via phone (208) 413-6570.Contact Information
Primary practice address
609 Bryden Ave Ste B
Lewiston ID 83501-5193
Phone: (208) 413-6570
Fax: (208) 413-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-33391 | Idaho |
Profile Details
| NPI number | 1063726826 |
|---|---|
| LBN Legal business name | Bohnenkamp, Rebecca Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2010 |
| Last updated | Jul 29th, 2022 - about 4 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 | 1063726826 | NPPES |
| Idaho | Other | 83-4294531 | IRS |
| Idaho | Other | LCSW-33391 | IRS |
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