Johnson, Degolia Monzello
Johnson, Degolia Monzello is an individual health care provider with primary practice located at 4696 W Overland Rd Suite 224, Boise ID 83705-2845. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Degolia Monzello can be contacted via phone (208) 338-4699.Contact Information
Primary practice address
4696 W Overland Rd Suite 224
Boise ID 83705-2845
Phone: (208) 338-4699
Fax: (208) 322-4722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | LMSW-25840 | Idaho |
Profile Details
| NPI number | 1093992794 |
|---|---|
| LBN Legal business name | Johnson, Degolia Monzello |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2008 |
| Last updated | Apr 24th, 2013 - 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.
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