Barber, Mallory Sue
Barber, Mallory Sue is an sole proprietor health care provider with primary practice located at 12598 W Medalist Dr , Boise ID 83709-6500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Barber, Mallory Sue can be contacted via phone (208) 954-3479.Contact Information
Primary practice address
12598 W Medalist Dr
Boise ID 83709-6500
Phone: (208) 954-3479
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1124684758 |
|---|---|
| LBN Legal business name | Barber, Mallory Sue |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2019 |
| Last updated | May 20th, 2019 - about 5 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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