Sicard, Colten Young

Sicard, Colten Young is an sole proprietor health care provider with primary practice located at 930 N 6Th E , Mountain Home ID 83647-2208. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sicard, Colten Young can be contacted via phone (406) 303-1882.

Contact Information

Primary practice address
930 N 6Th E Mountain Home ID 83647-2208
Phone: (406) 303-1882
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8861317 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X 104015 New York

Profile Details

NPI number 1578952289
LBN Legal business name Sicard, Colten Young
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2015
Last updated Sep 13th, 2026 - about last week

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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Identifiers

StateTypeNumberIssuer
All States NPI 1578952289 NPPES
New York MEDICAID 1041C0700X

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