Chriswell, Mchale

Chriswell, Mchale is an sole proprietor health care provider with primary practice located at 415 North 3Rd Ave, Ste B , Pocatello ID 83201. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty.

Contact Information

Primary practice address
415 North 3Rd Ave, Ste B Pocatello ID 83201
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 54386 Idaho

Profile Details

NPI number 1669195061
LBN Legal business name Chriswell, Mchale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2022
Last updated Sep 21st, 2022 - about 4 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 1669195061 NPPES
Idaho Other 54386 LICENSURE
Idaho MEDICAID 54386 LICENSURE

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