Anderson, Nicholas
Anderson, Nicholas is an sole proprietor health care provider with primary practice located at 3200 Channing Way Ste 206 , Idaho Falls ID 83404-7546. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Anderson, Nicholas can be contacted via phone (208) 529-2230.Contact Information
Primary practice address
3200 Channing Way Ste 206
Idaho Falls ID 83404-7546
Phone: (208) 529-2230
Fax: (208) 453-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1788 | Idaho |
Profile Details
| NPI number | 1093281016 |
|---|---|
| LBN Legal business name | Anderson, Nicholas |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Jun 4th, 2024 - about last year |
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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