Owens, Jody
Owens, Jody is an sole proprietor health care provider with primary practice located at 20 N Main St Ste 10 , Malad City ID 83252-1281. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Owens, Jody can be contacted via phone (208) 317-6300.Contact Information
Primary practice address
20 N Main St Ste 10
Malad City ID 83252-1281
Phone: (208) 317-6300
Fax: (208) 254-3386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCPC-3275 | Idaho |
Profile Details
| NPI number | 1285850867 |
|---|---|
| LBN Legal business name | Owens, Jody |
| Credentials | MS, LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Aug 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285850867 | NPPES |
| Idaho | MEDICAID | 806997900 |
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