King, India Cheatham

King, India Cheatham is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. King, India Cheatham can be contacted via phone (208) 514-2529.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Phone: (208) 514-2529
Fax: (208) 375-2217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY202839 Idaho

Profile Details

NPI number 1548536634
LBN Legal business name King, India Cheatham
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2012
Last updated Nov 13th, 2018 - about 8 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 1548536634 NPPES
Idaho MEDICAID 1548536634

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