Hartley, Nicholas Cole

Hartley, Nicholas Cole is an individual health care provider with primary practice located at 441 S Whitley Dr , Fruitland ID 83619-2542. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hartley, Nicholas Cole can be contacted via phone (208) 452-7197.

Contact Information

Primary practice address
441 S Whitley Dr Fruitland ID 83619-2542
Phone: (208) 452-7197
Fax: (208) 452-4811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-3815 Idaho

Profile Details

NPI number 1699166843
LBN Legal business name Hartley, Nicholas Cole
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2015
Last updated Dec 6th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699166843 NPPES
Idaho MEDICAID 1699166843

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