Barnes, Nicole

Barnes, Nicole is an individual health care provider with primary practice located at 1520 W State St Ste 210, Boise ID 83702-4085. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Barnes, Nicole can be contacted via phone (208) 336-8433.

Contact Information

Primary practice address
1520 W State St Ste 210 Boise ID 83702-4085
Phone: (208) 336-8433
Fax: (208) 336-8441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1831 Idaho

Profile Details

NPI number 1871769307
LBN Legal business name Barnes, Nicole
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Oct 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871769307 NPPES
Idaho Other 0330319 WA L&I
Idaho MEDICAID 1871769307 WA L&I

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