Becker, Corlene Aleta

Becker, Corlene Aleta is an sole proprietor health care provider with primary practice located at 2301 Krier Rd , Genesee ID 83832. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Becker, Corlene Aleta can be contacted via phone (208) 285-1178.

Contact Information

Primary practice address
2301 Krier Rd Genesee ID 83832
Phone: (208) 285-1178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X N-16760 Idaho

Profile Details

NPI number 1508040023
LBN Legal business name Becker, Corlene Aleta
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508040023 NPPES
Idaho MEDICAID 805589100

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