Chaney, Mark David

Chaney, Mark David is an individual health care provider with primary practice located at 4012 Grover St , Boise ID 83705-1428. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietary Manager, which is considered as his primary health care specialty. Chaney, Mark David can be contacted via phone (208) 345-7742.

Contact Information

Primary practice address
4012 Grover St Boise ID 83705-1428
Phone: (208) 345-7742
Fax: (208) 345-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietary Manager 132700000X

Profile Details

NPI number 1780665737
LBN Legal business name Chaney, Mark David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 19 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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