Nave, Mikeal Bruce

Nave, Mikeal Bruce is an sole proprietor health care provider with primary practice located at 108 E 6Th St , Emmett ID 83617-3536. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nave, Mikeal Bruce can be contacted via phone (208) 365-6300.

Contact Information

Primary practice address
108 E 6Th St Emmett ID 83617-3536
Fax: (208) 365-6309
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC15672 California
Chiropractic Providers / Chiropractor 111N00000X CHIA-1417 Idaho

Profile Details

NPI number 1891821369
LBN Legal business name Nave, Mikeal Bruce
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated May 26th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891821369 NPPES
California Other DC0156720 BLUE SHIELD BLUE CORSS

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