Hausner, Nancy Lea
Hausner, Nancy Lea is an individual health care provider with primary practice located at 10112 W Overland Rd , Boise ID 83709-1428. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hausner, Nancy Lea can be contacted via phone (208) 780-3900.Contact Information
Primary practice address
10112 W Overland Rd
Boise ID 83709-1428
Phone: (208) 780-3900
Fax: (208) 375-2882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-36275 | Idaho |
Profile Details
| NPI number | 1124451067 |
|---|---|
| LBN Legal business name | Hausner, Nancy Lea |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2013 |
| Last updated | Dec 12th, 2016 - about 10 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 | 1124451067 | NPPES |
| Idaho | MEDICAID | 1477920270 |
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