Mingo, Brieonna Dawn
Mingo, Brieonna Dawn is an individual health care provider with primary practice located at 1110 Call Creek Dr Ste 7 , Pocatello ID 83201-3072. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mingo, Brieonna Dawn can be contacted via phone (208) 233-4660.Contact Information
Primary practice address
1110 Call Creek Dr Ste 7
Pocatello ID 83201-3072
Phone: (208) 233-4660
Fax: (208) 233-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT-2415 | Idaho |
Profile Details
| NPI number | 1497422885 |
|---|---|
| LBN Legal business name | Mingo, Brieonna Dawn |
| Credentials | MOTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Aug 16th, 2023 - about 2 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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