SearchIdaho163WG0000X

Mchale Chriswell

NPI 1669195061 · on the registry since 2022 · sole proprietor

Practice

Address
415 North 3rd Ave, Ste B
Pocatello, ID 83201
Organisation at this address
Robert L. Fackrell Dds Pa
Nobility Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Additional practice sites

  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID
  • 415 N 3rd Ave Ste B, Pocatello, ID

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho