National Provider Identifier Database

RENEW AESTHETICS AND IV HYDRATION BAR
Infusion Therapy


Contact Information

RENEW AESTHETICS AND IV HYDRATION BAR
515 N 4TH ST STE 2
COEUR D'ALENE, ID83814-2927
Phone: 208-930-6823
Fax:
Website:
Specialty Taxonomy Code
* Infusion Therapy 163WI0500X

* Indicates primary specialty

NPI Profile & details for RENEW AESTHETICS AND IV HYDRATION BAR

NPI Number 1780220517
Legal business name
LBN
RENEW AESTHETICS AND IV HYDRATION BAR
Authorized official ANGELA SATTLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/27/2019
Last updated 11/27/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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