Maxwell, Nicole Marie
Maxwell, Nicole Marie is an individual health care provider with primary practice located at 4219 W Emerald St , Boise ID 83706-2036. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Maxwell, Nicole Marie can be contacted via phone (208) 338-0405.Contact Information
Primary practice address
4219 W Emerald St
Boise ID 83706-2036
Phone: (208) 338-0405
Fax: (208) 422-9957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | NT00001153 | Washington |
Profile Details
| NPI number | 1083772065 |
|---|---|
| LBN Legal business name | Maxwell, Nicole Marie |
| Credentials | NMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jan 28th, 2020 - about 6 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 | 1083772065 | NPPES |
| Washington | Other | 201450836 | TAX IDENTIFICATION NUMBER |
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