Wenzel, Tom

Wenzel, Tom is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4599. He recently has only one registered license in Nursing Service Providers / Gastroenterology, which is considered as his primary health care specialty. Wenzel, Tom can be contacted via phone (208) 422-1092.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4599
Phone: (208) 422-1092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gastroenterology 163WG0100X N-21615 Idaho

Profile Details

NPI number 1023636180
LBN Legal business name Wenzel, Tom
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2020
Last updated Jul 6th, 2020 - about 4 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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