Lipetzky, Joseph Al

Lipetzky, Joseph Al is an individual health care provider with primary practice located at 1755 N Westgate Dr Ste 260 , Boise ID 83704-7176. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lipetzky, Joseph Al can be contacted via phone (208) 373-0790.

Contact Information

Primary practice address
1755 N Westgate Dr Ste 260 Boise ID 83704-7176
Phone: (208) 373-0790
Fax: (208) 373-0816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 338 Idaho

Profile Details

NPI number 1467440065
LBN Legal business name Lipetzky, Joseph Al
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2005
Last updated Aug 4th, 2022 - about 4 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 1467440065 NPPES
Idaho Other 00010016100 REGENCE BLUE SHIELD
Idaho Other N5509 REGENCE BLUE SHIELD

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