Stockwell, Manfred Ross
Stockwell, Manfred Ross is an sole proprietor health care provider with primary practice located at 5027 Cree Way , Boise ID 83709-5344. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stockwell, Manfred Ross can be contacted via phone (208) 362-6530.Contact Information
Primary practice address
5027 Cree Way
Boise ID 83709-5344
Phone: (208) 362-6530
Fax: (208) 362-6530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-729 | Idaho |
Profile Details
| NPI number | 1053558973 |
|---|---|
| LBN Legal business name | Stockwell, Manfred Ross |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2009 |
| Last updated | Jan 14th, 2009 - about 17 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 | 1053558973 | NPPES |
| Idaho | Other | 000010031901 | REGENCE B/C |
| Idaho | Other | C-7291 | REGENCE B/C |
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