Ostberg, Madeline
Ostberg, Madeline is an sole proprietor health care provider with primary practice located at 12553 W Explorer Dr Ste 190 , Boise ID 83713-1612. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ostberg, Madeline can be contacted via phone (208) 369-9168.Contact Information
Primary practice address
12553 W Explorer Dr Ste 190
Boise ID 83713-1612
Phone: (208) 369-9168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1447840731 |
|---|---|
| LBN Legal business name | Ostberg, Madeline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2021 |
| Last updated | Jan 21st, 2021 - 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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