Jones, Mark
Jones, Mark is an sole proprietor health care provider with primary practice located at 1020 Main St , Lewiston ID 83501-1842. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jones, Mark can be contacted via phone (208) 743-8101.Contact Information
Primary practice address
1020 Main St
Lewiston ID 83501-1842
Phone: (208) 743-8101
Fax: (208) 746-7402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-1120 | Idaho |
Profile Details
| NPI number | 1902946221 |
|---|---|
| LBN Legal business name | Jones, Mark |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1902946221 | NPPES |
| Idaho | Other | 000010017772 | REGENCE BLUE SHIELD |
| Idaho | Other | L3076 | REGENCE BLUE SHIELD |
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