SearchIdaho1041C0700X

Michael Botnick, MSW

NPI 1801980370 · on the registry since 2006 · sole proprietor

Practice

Address
118 North 7th Street Suite B-12
Coeur D' Alene, ID 83814
Phone
(208) 667-6606

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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