Ward, Cody
Ward, Cody is an individual health care provider with primary practice located at 7025 W Emerald St , Boise ID 83704. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ward, Cody can be contacted via phone (208) 947-0863.Contact Information
Primary practice address
7025 W Emerald St
Boise ID 83704
Phone: (208) 947-0863
Fax: (208) 672-0324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1380 |
Profile Details
| NPI number | 1245592963 |
|---|---|
| LBN Legal business name | Ward, Cody |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245592963 | NPPES |
| Kentucky | MEDICAID | 1790731081 |
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