Nicolello, Timothy Steven

Nicolello, Timothy Steven is an individual health care provider with primary practice located at 1109 W Myrtle St Suite 200, Boise ID 83702-6970. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Nicolello, Timothy Steven can be contacted via phone (208) 874-3449.

Contact Information

Primary practice address
1109 W Myrtle St Suite 200 Boise ID 83702-6970
Phone: (208) 874-3449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 400 Idaho

Profile Details

NPI number 1831475284
LBN Legal business name Nicolello, Timothy Steven
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Apr 2nd, 2012 - about 14 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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