Calzacorta, Justine

Calzacorta, Justine is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Calzacorta, Justine can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 53730 Idaho

Profile Details

NPI number 1124750880
LBN Legal business name Calzacorta, Justine
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2022
Last updated Oct 25th, 2022 - about 3 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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