Self, Desiree Ann
Self, Desiree Ann is an sole proprietor health care provider with primary practice located at 244 S Silverwood Way , Eagle ID 83616-6165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Self, Desiree Ann can be contacted via phone (440) 228-7161.Contact Information
Primary practice address
244 S Silverwood Way
Eagle ID 83616-6165
Phone: (440) 228-7161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1528630357 |
|---|---|
| LBN Legal business name | Self, Desiree Ann |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2021 |
| Last updated | Jul 12th, 2021 - about 5 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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