Comstock, Calista D
Comstock, Calista D is an individual health care provider with primary practice located at 1641 E Polston Ave Ste 101 , Post Falls ID 83854-7852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Comstock, Calista D can be contacted via phone (208) 457-4208.Contact Information
Primary practice address
1641 E Polston Ave Ste 101
Post Falls ID 83854-7852
Phone: (208) 457-4208
Fax: (208) 457-4197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1720240401 |
|---|---|
| LBN Legal business name | Comstock, Calista D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720240401 | NPPES |
| Idaho | MEDICAID | 1720240401 |
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