Earl C Chester Jr. Md Pa

LBN: Earl C Chester Jr. Md Pa
Earl C Chester Jr. Md Pa is an health care organization with primary practice located at 115 S 15Th Ave Suite E, Pocatello ID 83201-4068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Earl C Chester Jr. Md Pa can be contacted via phone (208) 232-2107, or through Chester, Earl C via phone (208) 232-2107.

Contact Information

Primary practice address
115 S 15Th Ave Suite E Pocatello ID 83201-4068
Phone: (208) 232-2107
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chester, Earl C Doctor of Medicine (MD)
Phone: (208) 232-2107

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M3346 Idaho

Profile Details

NPI number 1760653059
LBN Legal business name Earl C Chester Jr. Md Pa
DBA Doing business as
Authorized official Chester, Earl C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Mar 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760653059 NPPES
Idaho Other 1110276 MEDICARE PROVIDER

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