Provider Demographics
NPI:1639444102
Name:EKNESS & SHERMAN ASSOCIATES,LLC
Entity type:Organization
Organization Name:EKNESS & SHERMAN ASSOCIATES,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:EKNESS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:208-661-0093
Mailing Address - Street 1:2201 N GOVERNMENT WAY STE K
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3658
Mailing Address - Country:US
Mailing Address - Phone:208-661-0093
Mailing Address - Fax:208-262-9698
Practice Address - Street 1:2201 N GOVERNMENT WAY STE K
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3658
Practice Address - Country:US
Practice Address - Phone:208-661-0093
Practice Address - Fax:208-262-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-17
Last Update Date:2012-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLSW-1270251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management