Bullick, Patricia Ann
Bullick, Patricia Ann is an sole proprietor health care provider with primary practice located at 1686 W Riverstone Dr , Coeur D Alene ID 83814-6051. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bullick, Patricia Ann can be contacted via phone (208) 765-4795.Contact Information
Primary practice address
1686 W Riverstone Dr
Coeur D Alene ID 83814-6051
Phone: (208) 765-4795
Fax: (208) 765-2903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW 26166 | Idaho |
Profile Details
| NPI number | 1831110568 |
|---|---|
| LBN Legal business name | Bullick, Patricia Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 27th, 2013 - about 13 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 | 1831110568 | NPPES |
| Idaho | MEDICAID | 807261800 |
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