Freshwater, Michelle Mae
Freshwater, Michelle Mae is an sole proprietor health care provider with primary practice located at 115 W Main St Suite 101, Boise ID 83702-7302. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Freshwater, Michelle Mae can be contacted via phone (208) 343-3652.Contact Information
Primary practice address
115 W Main St Suite 101
Boise ID 83702-7302
Phone: (208) 343-3652
Fax: (208) 367-9188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | M-8944 | Idaho |
Profile Details
| NPI number | 1851591879 |
|---|---|
| LBN Legal business name | Freshwater, Michelle Mae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2007 |
| Last updated | Jul 18th, 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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