National Provider Identifier Database

COMPLETE EMBODIMENT WELLNESS
Family


Contact Information

COMPLETE EMBODIMENT WELLNESS
7683 W EMERALD ST
BOISE, ID83704-9018
Phone: 208-376-2522
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for COMPLETE EMBODIMENT WELLNESS

NPI Number 1932811296
Legal business name
LBN
COMPLETE EMBODIMENT WELLNESS
Authorized official TONI BENNETT - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 12/19/2022
Last updated 05/16/2023 - About 3 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.

Reviews for COMPLETE EMBODIMENT WELLNESS

There are currently no reviews for COMPLETE EMBODIMENT WELLNESS


NPIdb - Home
v2.201