Garrett, Nicholas
Garrett, Nicholas is an sole proprietor health care provider with primary practice located at 700 S Main St , Moscow ID 83843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Garrett, Nicholas can be contacted via phone (208) 882-4511.Contact Information
Primary practice address
700 S Main St
Moscow ID 83843
Phone: (208) 882-4511
Fax: (208) 883-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | O-1226 | Idaho |
Profile Details
| NPI number | 1841673183 |
|---|---|
| LBN Legal business name | Garrett, Nicholas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2015 |
| Last updated | Jul 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841673183 | NPPES |
| Idaho | MEDICAID | 1841673183 |
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