Nordhagen, Mandi
Nordhagen, Mandi is an sole proprietor health care provider with primary practice located at 700 W Ironwood Dr Suite 228, Coeur D Alene ID 83814-2656. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Nordhagen, Mandi can be contacted via phone (208) 625-5670.Contact Information
Primary practice address
700 W Ironwood Dr Suite 228
Coeur D Alene ID 83814-2656
Phone: (208) 625-5670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | P6493 | Idaho |
| Pharmacy Service Providers / Ambulatory Care | 1835P2201X | PH00039410 | Washington |
Profile Details
| NPI number | 1063944726 |
|---|---|
| LBN Legal business name | Nordhagen, Mandi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2017 |
| Last updated | Mar 31st, 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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