Brother, Mary Ann

Brother, Mary Ann is an individual health care provider with primary practice located at 500 West Fort , Boise ID 83702. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Brother, Mary Ann can be contacted via phone (208) 422-1141.

Contact Information

Primary practice address
500 West Fort Boise ID 83702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D-092 Idaho

Profile Details

NPI number 1134224421
LBN Legal business name Brother, Mary Ann
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers