Maricich, Maria M
Maricich, Maria M is an sole proprietor health care provider with primary practice located at 131 4Th St. E, Suite 310 , Ketchum ID 83340. She recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Internist, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Internist is her primary health care specialty. Maricich, Maria M can be contacted via phone (208) 726-6010.Contact Information
Primary practice address
131 4Th St. E, Suite 310
Ketchum ID 83340
Phone: (208) 726-6010
Fax: (208) 726-6010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | C622 | Idaho |
| Chiropractic Providers / Nutrition | 111NN1001X | CHIA622 | Idaho |
| Chiropractic Providers / Internist | 111NI0900X | CHIA622 | Idaho |
| Chiropractic Providers / Pediatric Chiropractor | 111NP0017X | CHIA622 | Idaho |
| Chiropractic Providers / Sports Physician | 111NS0005X | CHIA622 | Idaho |
Profile Details
| NPI number | 1962542332 |
|---|---|
| LBN Legal business name | Maricich, Maria M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Mar 25th, 2014 - about 12 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 | 1962542332 | NPPES |
| Idaho | Other | C622-8 | BLUE CROSS |
| Idaho | Other | 0000-1002-0870 | BLUE CROSS |
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