Williams, Ronnie Dale
Williams, Ronnie Dale is an sole proprietor health care provider with primary practice located at 7683 W Riverside Dr , Boise ID 83714-6188. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Williams, Ronnie Dale can be contacted via phone (208) 853-2227.Contact Information
Primary practice address
7683 W Riverside Dr
Boise ID 83714-6188
Phone: (208) 853-2227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MX060119 | Idaho |
Profile Details
| NPI number | 1174793616 |
|---|---|
| LBN Legal business name | Williams, Ronnie Dale |
| Credentials | CNA , CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2008 |
| Last updated | Mar 19th, 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 | 1174793616 | NPPES |
| Idaho | Other | 00078560602 | IDAHONURSEAIDE PROGRAM |
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