Dennis, J. Michael
Dennis, J. Michael is an individual health care provider with primary practice located at 311 N. Allumbaugh St. , Boise ID 83704. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dennis, J. Michael can be contacted via phone (208) 375-6402.Contact Information
Primary practice address
311 N. Allumbaugh St.
Boise ID 83704
Phone: (208) 375-6402
Fax: (208) 323-1850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY371 | Idaho |
Profile Details
| NPI number | 1326084492 |
|---|---|
| LBN Legal business name | Dennis, J. Michael |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Nov 16th, 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 | 1326084492 | NPPES |
| Other | 000010008943 | REGENCE BLUE SHIELD | |
| Other | N4809 | REGENCE BLUE SHIELD |
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