Kelsch, Mark
Kelsch, Mark is an sole proprietor health care provider with primary practice located at 2267 Teton Plz , Idaho Falls ID 83404-6486. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kelsch, Mark can be contacted via phone (208) 522-0140.Contact Information
Primary practice address
2267 Teton Plz
Idaho Falls ID 83404-6486
Phone: (208) 522-0140
Fax: (208) 524-7335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCSW-37136 | Idaho |
Profile Details
| NPI number | 1497046718 |
|---|---|
| LBN Legal business name | Kelsch, Mark |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2011 |
| Last updated | Nov 22nd, 2023 - about 3 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 | 1497046718 | NPPES |
| Idaho | MEDICAID | 1346368198 |
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