Nebeker, Trudy
Nebeker, Trudy is an individual health care provider with primary practice located at 4222 W Emerald St , Boise ID 83706-2037. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Nebeker, Trudy can be contacted via phone (208) 605-3663.Contact Information
Primary practice address
4222 W Emerald St
Boise ID 83706-2037
Phone: (208) 605-3663
Fax: (208) 605-3663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1770147944 |
|---|---|
| LBN Legal business name | Nebeker, Trudy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2019 |
| Last updated | Apr 23rd, 2019 - about 6 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 | 1770147944 | NPPES |
| Idaho | MEDICAID | 1154817021 |
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