National Provider Identifier Database

BESPOKE BODY WELLNESS
Family


Contact Information

BESPOKE BODY & WELLNESS
4028 N QUENZER WAY
MERIDIAN, ID83646-5928
Phone: 208-398-9974
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for BESPOKE BODY & WELLNESS

NPI Number 1104680602
Legal business name
LBN
BESPOKE BODY & WELLNESS
Authorized official ALISON MELLE - (NP/OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/06/2024
Last updated 02/06/2024 - About 2 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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