Brent Richard Ide LSCSW

NPI 1225340912 - Social Worker - 1041C0700X

NPI Details
NPI 1225340912
Gender Male
Enumeration Date 07/09/2010
Last Updated 10/27/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1901 E 1ST ST
NEWTON KS, 67114-0467, US
Phone (316) 284-6400
Fax (316) 284-6490
Business Location
PO BOX 467
1901 E 1ST ST
NEWTON KS, 67114-0467, US
Phone (316) 284-6400
Fax (316) 284-6490
Toxanomy
Taxonomy Code 1041C0700X
License State Kansas
License Number 7784
Remove 1225340912 NPI Number
 

According to our database, Brent Richard Ide LSCSW NPI is 1225340912, taxonomy code is 1041C0700X and license number is 7784, license state is located at Kansas. Brent Richard Ide LSCSW physically located at 1901 E 1st St, Newton KS, 67114-0467. NPI Number Brent Richard Ide LSCSW has the Individual type.

Sponsored links

1225340912 NPI number is provided on an as is basis without warranty of any kind. 1225340912 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Richard Ide LSCSW are for informational purposes only.