Dilbeck, Brenda Elaine
Dilbeck, Brenda Elaine is an sole proprietor health care provider with primary practice located at 4515 N Glenwood St , Boise ID 83704-3012. She recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as her primary health care specialty. Dilbeck, Brenda Elaine can be contacted via phone (208) 629-4290.Contact Information
Primary practice address
4515 N Glenwood St
Boise ID 83704-3012
Phone: (208) 629-4290
Fax: (208) 629-4290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X |
Profile Details
| NPI number | 1861742736 |
|---|---|
| LBN Legal business name | Dilbeck, Brenda Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Sep 18th, 2012 - about 12 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 | 1861742736 | NPPES |
| Idaho | MEDICAID | M8063096 |
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