Willis, Pebbles P

Willis, Pebbles P is an individual health care provider with primary practice located at 8050 W Rifleman St Ste 200 , Boise ID 83704-9006. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Willis, Pebbles P can be contacted via phone (877) 522-1275.

Contact Information

Primary practice address
8050 W Rifleman St Ste 200 Boise ID 83704-9006
Phone: (877) 522-1275
Fax: (509) 491-3031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1487405452
LBN Legal business name Willis, Pebbles P
Credentials PSS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2024
Last updated Mar 28th, 2024 - about last year

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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