Davis, Cassie
Davis, Cassie is an sole proprietor health care provider with primary practice located at 3522 Briar Creek Ln , Ammon ID 83406-4728. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Cassie can be contacted via phone (208) 529-1660.Contact Information
Primary practice address
3522 Briar Creek Ln
Ammon ID 83406-4728
Phone: (208) 529-1660
Fax: (208) 529-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LMSW-32584 | Idaho |
Profile Details
| NPI number | 1720320328 |
|---|---|
| LBN Legal business name | Davis, Cassie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2013 |
| Last updated | Mar 21st, 2013 - about 12 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 | 1720320328 | NPPES |
| Idaho | Other | LMSW-32584 | STATE LICENSE - LMSW |
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