Nelson, Stephen B
Nelson, Stephen B is an sole proprietor health care provider with primary practice located at 690 S Industry Way Ste 45 , Meridian ID 83642-7907. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Nelson, Stephen B can be contacted via phone (208) 278-6807.Contact Information
Primary practice address
690 S Industry Way Ste 45
Meridian ID 83642-7907
Phone: (208) 278-6807
Fax: (208) 493-4885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-5279 | Idaho |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCPC-6320 | Idaho |
Profile Details
| NPI number | 1215362009 |
|---|---|
| LBN Legal business name | Nelson, Stephen B |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Aug 17th, 2023 - about 2 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 | 1215362009 | NPPES |
| Idaho | MEDICAID | LCPC-6320 |
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