Amos, Beth Larae
Amos, Beth Larae is an sole proprietor health care provider with primary practice located at 404 E Elm St , Caldwell ID 83605-4846. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Amos, Beth Larae can be contacted via phone (208) 459-0028.Contact Information
Primary practice address
404 E Elm St
Caldwell ID 83605-4846
Phone: (208) 459-0028
Fax: (208) 459-0380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 83259 | Idaho |
Profile Details
| NPI number | 1053440644 |
|---|---|
| LBN Legal business name | Amos, Beth Larae |
| Credentials | C.F.A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053440644 | NPPES |
| Idaho | Other | 83259 | CERTIFICATION FOR THE SUR |
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