Wells, Becky J
Wells, Becky J is an individual health care provider with primary practice located at 260 S Ten Mile Rd , Meridian ID 83642-6100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wells, Becky J can be contacted via phone (208) 809-2872.Contact Information
Primary practice address
260 S Ten Mile Rd
Meridian ID 83642-6100
Phone: (208) 809-2872
Fax: (208) 809-2873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-839 | Idaho |
Profile Details
| NPI number | 1780617811 |
|---|---|
| LBN Legal business name | Wells, Becky J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Mar 26th, 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 | 1780617811 | NPPES |
| Idaho | MEDICAID | 808592100 |
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