Reyes, Jorge Domingo
Reyes, Jorge Domingo is an sole proprietor health care provider with primary practice located at 5700 E. Franklin Rd. Suite 220-I, Nampa ID 83687. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Reyes, Jorge Domingo can be contacted via phone (208) 514-9497.Contact Information
Primary practice address
5700 E. Franklin Rd. Suite 220-I
Nampa ID 83687
Phone: (208) 514-9497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-5723 | Idaho |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-5723 | Idaho |
Profile Details
| NPI number | 1578965422 |
|---|---|
| LBN Legal business name | Reyes, Jorge Domingo |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2014 |
| Last updated | Apr 1st, 2016 - about 10 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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