National Provider Identifier Database

ADDI
Psychiatric/Mental Health


Contact Information

ADDI
1526 W USTICK RD STE 110
MERIDIAN, ID83646-7741
Phone: 208-370-5888
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health 363LP0808X
Family 363LF0000X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for ADDI

NPI Number 1326877762
Legal business name
LBN
ADDI
Authorized official KYLE RONNAU - (CEO/MEDICAL DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 08/01/2024
Last updated 10/14/2024 - More than a year 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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