Wacholz, Stanley Keith

Wacholz, Stanley Keith is an sole proprietor health care provider with primary practice located at 5723 E Dodd Rd , Hayden Lake ID 83835-9376. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Wacholz, Stanley Keith can be contacted via phone (208) 651-8985.

Contact Information

Primary practice address
5723 E Dodd Rd Hayden Lake ID 83835-9376
Phone: (208) 651-8985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Idaho

Profile Details

NPI number 1548811904
LBN Legal business name Wacholz, Stanley Keith
Credentials BS BIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - about 6 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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