Smith, E. Wade
Smith, E. Wade is an sole proprietor health care provider with primary practice located at 111 E 16Th St , Idaho Falls ID 83401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Smith, E. Wade can be contacted via phone (208) 523-1130.Contact Information
Primary practice address
111 E 16Th St
Idaho Falls ID 83401
Phone: (208) 523-1130
Fax: (208) 529-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC - 161 | Idaho |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW - 348 | Idaho |
Profile Details
| NPI number | 1871929026 |
|---|---|
| LBN Legal business name | Smith, E. Wade |
| Credentials | LCSW, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Sep 19th, 2013 - about 13 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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