Wildwood, Susan
Wildwood, Susan is an sole proprietor health care provider with primary practice located at 2533 N 26Th St , Boise ID 83702-0308. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Wildwood, Susan can be contacted via phone (208) 433-8365.Contact Information
Primary practice address
2533 N 26Th St
Boise ID 83702-0308
Phone: (208) 433-8365
Fax: (208) 343-3756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1114184652 |
|---|---|
| LBN Legal business name | Wildwood, Susan |
| Credentials | G.C.F.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2008 |
| Last updated | Apr 6th, 2009 - about 17 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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