Stiles Johnson, Rose M
Stiles Johnson, Rose M is an sole proprietor health care provider with primary practice located at 1304 1/2 S Owyhee St , Boise ID 83705-6011. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Stiles Johnson, Rose M can be contacted via phone (208) 384-0141.Contact Information
Primary practice address
1304 1/2 S Owyhee St
Boise ID 83705-6011
Phone: (208) 384-0141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | 40517 | Idaho |
Profile Details
| NPI number | 1215197009 |
|---|---|
| LBN Legal business name | Stiles Johnson, Rose M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2008 |
| Last updated | Jun 15th, 2008 - about 18 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 | 1215197009 | NPPES |
| Idaho | MEDICAID | 807816600 |
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