Blickenstaff, Nicholas
Blickenstaff, Nicholas is an sole proprietor health care provider with primary practice located at 6454 W Emerald St , Boise ID 83704-8734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Blickenstaff, Nicholas can be contacted via phone (208) 377-0820.Contact Information
Primary practice address
6454 W Emerald St
Boise ID 83704-8734
Phone: (208) 377-0820
Fax: (208) 375-8046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036.150002 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M15699 | Idaho |
Profile Details
| NPI number | 1437544582 |
|---|---|
| LBN Legal business name | Blickenstaff, Nicholas |
| Credentials | M.D., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2015 |
| Last updated | Apr 25th, 2022 - about 3 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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