Koonce, Nichole
Koonce, Nichole is an sole proprietor health care provider with primary practice located at 67 W Garfield Ave , Glenns Ferry ID 83623-5003. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Koonce, Nichole can be contacted via phone (208) 514-9037.Contact Information
Primary practice address
67 W Garfield Ave
Glenns Ferry ID 83623-5003
Phone: (208) 514-9037
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Idaho |
Profile Details
| NPI number | 1982369955 |
|---|---|
| LBN Legal business name | Koonce, Nichole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2021 |
| Last updated | Nov 4th, 2021 - about 5 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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