Hensley, Nicholas
Hensley, Nicholas is an sole proprietor health care provider with primary practice located at 3155 Channing Way Ste B , Idaho Falls ID 83404-7534. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Hensley, Nicholas can be contacted via phone (208) 535-4800.Contact Information
Primary practice address
3155 Channing Way Ste B
Idaho Falls ID 83404-7534
Phone: (208) 535-4800
Fax: (208) 535-4807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-1410 | Idaho |
Profile Details
| NPI number | 1831647197 |
|---|---|
| LBN Legal business name | Hensley, Nicholas |
| Credentials | MPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2016 |
| Last updated | Sep 15th, 2016 - about 10 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 | 1831647197 | NPPES |
| Idaho | MEDICAID | 002786100 |
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