Carrington, Stewart G
Carrington, Stewart G is an individual health care provider with primary practice located at 203 S Daisy , Salmon ID 83467-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Carrington, Stewart G can be contacted via phone (208) 756-5600.Contact Information
Primary practice address
203 S Daisy
Salmon ID 83467-0000
Phone: (208) 756-5600
Fax: (208) 756-4169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M-5749 | Idaho |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M-5749 | Idaho |
Profile Details
| NPI number | 1720181639 |
|---|---|
| LBN Legal business name | Carrington, Stewart G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Dec 19th, 2011 - about 15 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 | 1720181639 | NPPES |
| Idaho | MEDICAID | 002132700 |
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