Crandall, Heather R
Crandall, Heather R is an individual health care provider with primary practice located at 2855 E Magic View Dr , Meridian ID 83642-6245. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Crandall, Heather R can be contacted via phone (208) 639-4900.Contact Information
Primary practice address
2855 E Magic View Dr
Meridian ID 83642-6245
Phone: (208) 639-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 94981 | Idaho |
Profile Details
| NPI number | 1942356647 |
|---|---|
| LBN Legal business name | Crandall, Heather R |
| Credentials | CST CFA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942356647 | NPPES |
| Idaho | Other | 94981 | CERTIFICATION NUMBER |
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