EDWARD MATHEWS ISAS
NPI 1861844094
Counselor - Addiction (Substance Use Disorder) in Idaho Falls, ID
Active since July 12, 2016
About Edward Mathews Isas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD MATHEWS ISAS (NPI 1861844094) is an individual addiction (substance use disorder) provider in Idaho Falls, Idaho, licensed in Idaho (ISAS-10328) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1861844094
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWARD MATHEWSCredential: ISAS
Location Address482 CONSTITUTION WAY, SUITE 110Idaho Falls, ID 83402-3565
Mailing Address482 Constitution Way, Suite 110Idaho Falls, ID 83402-3565 · (208) 932-4493 · Fax (208) 932-4582
Phone(208) 932-4493
Sole ProprietorYes
Enumeration DateJuly 12, 2016
✔ NPI 1861844094 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · ISAS-10328
482 CONSTITUTION WAY, Idaho Falls, ID 83402
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
482 CONSTITUTION WAY
IDAHO FALLS, ID 83402
IDAHO FALLS, ID 83402
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861844094, enumerated as an "individual" on July 12, 2016.
The provider is located at 482 CONSTITUTION WAY SUITE 110 IDAHO FALLS, ID 83402 and the phone number is (208) 932-4493.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
