Idaho Surgical Assistants Pllc

LBN: Idaho Surgical Assistants Pllc
Idaho Surgical Assistants Pllc is an health care organization with primary practice located at 190 E Bannock St , Boise ID 83712-6241. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. Idaho Surgical Assistants Pllc can be contacted via phone (208) 381-2185, or through Park, Reanna via phone (208) 525-2090.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2185
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Reanna
Phone: (208) 525-2090

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-325 Idaho

Profile Details

NPI number 1225389414
LBN Legal business name Idaho Surgical Assistants Pllc
DBA Doing business as
Authorized official Park, Reanna
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2012
Last updated Sep 27th, 2012 - about 14 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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