Wilson, Nichole Chauntelle
Wilson, Nichole Chauntelle is an sole proprietor health care provider with primary practice located at 150 Shoup Ave , Idaho Falls ID 83402-3657. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Wilson, Nichole Chauntelle can be contacted via phone (208) 359-4778.Contact Information
Primary practice address
150 Shoup Ave
Idaho Falls ID 83402-3657
Phone: (208) 359-4778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1740730811 |
|---|---|
| LBN Legal business name | Wilson, Nichole Chauntelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2016 |
| Last updated | Oct 12th, 2016 - 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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