Browneller, Nicholas John
Browneller, Nicholas John is an individual health care provider with primary practice located at 610 Oak St , Potlatch ID 83855-0359. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Browneller, Nicholas John can be contacted via phone (208) 351-8968.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1407410517 |
|---|---|
| LBN Legal business name | Browneller, Nicholas John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2019 |
| Last updated | Oct 12th, 2019 - about 6 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 | 1407410517 | NPPES |
| Idaho | MEDICAID | A0003385 |
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