Kaufmann, Theresa Marie

Kaufmann, Theresa Marie is an individual health care provider with primary practice located at 777 Hospital Way Bldg A Ste. 101, Pocatello ID 83201-2753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kaufmann, Theresa Marie can be contacted via phone (208) 234-2001.

Contact Information

Primary practice address
777 Hospital Way Bldg A Ste. 101 Pocatello ID 83201-2753
Phone: (208) 234-2001
Fax: (208) 232-2195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP160A Idaho

Profile Details

NPI number 1649266529
LBN Legal business name Kaufmann, Theresa Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 14th, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649266529 NPPES
Idaho MEDICAID 806131600

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