Hausken, Heide L

Hausken, Heide L is an sole proprietor health care provider with primary practice located at 3500 W Scenic Dr , Boise ID 83703-4725. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hausken, Heide L can be contacted via phone (208) 340-0930.

Contact Information

Primary practice address
3500 W Scenic Dr Boise ID 83703-4725
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X EDUID552776347 Idaho
Behavioral Health & Social Service Providers / School 103TS0200X 439884H Washington
Behavioral Health & Social Service Providers / School 103TS0200X 34419 Idaho

Profile Details

NPI number 1972244291
LBN Legal business name Hausken, Heide L
Credentials ED.S, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2022
Last updated Jun 5th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972244291 NPPES
Idaho Other EDUID552776347 EDUCATIONAL CERTIFICATE/ LICENSE
Idaho Other 439884H EDUCATIONAL CERTIFICATE/ LICENSE
Idaho Other 34419 EDUCATIONAL CERTIFICATE/ LICENSE

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