Edson, Gary D
Edson, Gary D is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Edson, Gary D can be contacted via phone (208) 367-3069.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 367-3069
Fax: (208) 367-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 53 | Idaho |
Profile Details
| NPI number | 1275688012 |
|---|---|
| LBN Legal business name | Edson, Gary D |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jul 8th, 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.
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