Hale, Nicholas A

Hale, Nicholas A is an individual health care provider with primary practice located at 495 Yellowstone Ave , Pocatello ID 83201-4531. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hale, Nicholas A can be contacted via phone (208) 478-7422.

Contact Information

Primary practice address
495 Yellowstone Ave Pocatello ID 83201-4531
Phone: (208) 478-7422
Fax: (208) 478-1515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-686 Idaho

Profile Details

NPI number 1841487840
LBN Legal business name Hale, Nicholas A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 6th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1841487840 NPPES
Idaho Other PA-686 STATE LICENSE NUMBER

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