Sandi De Eatinger in Idaho Falls - Clinical

Sandi De Eatinger - NPI 1831270594

Sandi De Eatinger is a Clinical in Idaho Falls, Idaho. Sandi De Eatinger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandi De Eatinger is 1831270594. The last update date is 2008-06-02.

Sandi De Eatinger's current location address is 3422 S 15th E, Idaho Falls, Idaho. You can contact this provider via phone number 2085521222 and fax number 2085523377. The mailing address for Sandi De Eatinger is 3422 S 15th E, Idaho Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandi De Eatinger
Address 3422 S 15th E, Idaho Falls, Idaho
Phone Number 2085521222
Fax Number 2085523377
Sole Proprietor N
Credentials LMSW

NPI Number Detail

NPI Number 1831270594
Provider Enumeration Date 2006-10-18
Last Updated Date 2008-06-02

Provider Mailing Address Detail

Address 3422 S 15th E
City Idaho Falls
State Idaho (ID)
Post Code 834048262
Phone Number 2085521222
Fax Number 2085523377

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCSW27315
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
L5931 ID IDAHO BLUE CROSS PIN
82052319683404B ID TRICARE BILLING NUMBER
805384500 ID --

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FAQs about Sandi De Eatinger

What is the unique identification code assigned to Sandi De Eatinger by the Centers for Medicare & Medicaid Services?

The Sandi De Eatinger has been issued the NPI (National Provider Identifier) 1831270594. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Sandi De Eatinger is physically located?

The Sandi De Eatinger is physically situated at the following address: 3422 S 15Th E, Idaho Falls, ID, 834048262.

What is Sandi De Eatinger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sandi De Eatinger is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Sandi De Eatinger receive its 1831270594 assignment from the Centers for Medicare & Medicaid Services?

The Sandi De Eatinger was assigned its 1831270594 by the Centers for Medicare & Medicaid Services on 2006-10-18.

When was the information regarding Sandi De Eatinger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Sandi De Eatinger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-02.

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