Phillips, Rachael
Phillips, Rachael is an sole proprietor health care provider with primary practice located at 360 Fillmore St , Twin Falls ID 83301-4807. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Phillips, Rachael can be contacted via phone (208) 404-5541.Contact Information
Primary practice address
360 Fillmore St
Twin Falls ID 83301-4807
Phone: (208) 404-5541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1295363711 |
|---|---|
| LBN Legal business name | Phillips, Rachael |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2020 |
| Last updated | Mar 30th, 2020 - about 6 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 | 1295363711 | NPPES |
| Idaho | MEDICAID | 106S00000X |
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