National Provider Identifier Database

MERIDIAN ADVANCED PSYCHIATRY LLC
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

MERIDIAN ADVANCED PSYCHIATRY , LLC
1672 S WOODSAGE AVE.
MERIDAN, ID83642
Phone: 208-515-2273
Fax: 208-515-2274
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for MERIDIAN ADVANCED PSYCHIATRY , LLC

NPI Number 1609412683
Legal business name
LBN
MERIDIAN ADVANCED PSYCHIATRY , LLC
Authorized official KEVIN HULSEY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/25/2019
Last updated 05/12/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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