Richards, Cheryl L
Richards, Cheryl L is an sole proprietor health care provider with primary practice located at 13595 N Marble Dr , Pocatello ID 83202-5215. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Richards, Cheryl L can be contacted via phone (208) 241-4524.Contact Information
Primary practice address
13595 N Marble Dr
Pocatello ID 83202-5215
Phone: (208) 241-4524
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1750037651 |
|---|---|
| LBN Legal business name | Richards, Cheryl L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Mar 1st, 2022 - about 3 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 | 1750037651 | NPPES |
| Idaho | MEDICAID | A0004137 |
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