Smiley, Justin Ford

Smiley, Justin Ford is an individual health care provider with primary practice located at 1115 B Street , Plummer ID 83851. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Smiley, Justin Ford can be contacted via phone (208) 686-1449.

Contact Information

Primary practice address
1115 B Street Plummer ID 83851
Phone: (208) 686-1449
Fax: (208) 686-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SOCIAL WORK 24211 Idaho

Profile Details

NPI number 1053392910
LBN Legal business name Smiley, Justin Ford
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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