Chavolla, Luis Esteban

Chavolla, Luis Esteban is an individual health care provider with primary practice located at 2025 W Park Pl , Coeur D Alene ID 83814-2787. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Chavolla, Luis Esteban can be contacted via phone (208) 620-5210.

Contact Information

Primary practice address
2025 W Park Pl Coeur D Alene ID 83814-2787
Phone: (208) 620-5210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW-43041 Idaho

Profile Details

NPI number 1902372857
LBN Legal business name Chavolla, Luis Esteban
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2018
Last updated Jan 17th, 2023 - about 2 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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