De Wall, Robert Andrew
De Wall, Robert Andrew is an sole proprietor health care provider with primary practice located at 444 Hospital Way Ste 477 , Pocatello ID 83201-2744. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. De Wall, Robert Andrew can be contacted via phone (208) 233-7832.Contact Information
Primary practice address
444 Hospital Way Ste 477
Pocatello ID 83201-2744
Phone: (208) 233-7832
Fax: (208) 233-7835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC-4672 | Idaho |
Profile Details
| NPI number | 1114228384 |
|---|---|
| LBN Legal business name | De Wall, Robert Andrew |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2010 |
| Last updated | Oct 22nd, 2021 - about 5 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.
Popular Providers
-
Downes, Katherine Ann
409 Washington Ave , Pocatello ID 83201-4520 -
Roske, Cassidy Michelle
409 Washington Ave , Pocatello ID 83201-4520 -
Minor, Amanda Jo
409 Washington Ave , Pocatello ID 83201-4520 -
Goodman, Nancy
845 W Center St Suite 306, Pocatello ID 83204-4205 -
Peterson, Tandice
1777 E Clark St Ste 210 , Pocatello ID 83201-3357 -
Davies Bullock, Pamela L.
1151 Hospital Way , Pocatello ID 83201-2763 -
Roberts, David W.
335 N Main St , Pocatello ID 83204 -
Ellis, Marina J.
427 N Arthur Ave Ste B , Pocatello ID 83204-3006