King, Rachel

King, Rachel is an sole proprietor health care provider with primary practice located at 6454 W Emerald St , Boise ID 83704-8734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. King, Rachel can be contacted via phone (208) 377-0820.

Contact Information

Primary practice address
6454 W Emerald St Boise ID 83704-8734
Phone: (208) 377-0820
Fax: (208) 375-8046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA521 Idaho

Profile Details

NPI number 1205826245
LBN Legal business name King, Rachel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jul 21st, 2021 - about 5 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 1205826245 NPPES
Idaho Other 000010148622 BLUE SHIELD
Idaho Other PACD0 BLUE SHIELD
Idaho Other PAMR8 BLUE SHIELD
Idaho MEDICAID 807029900 BLUE SHIELD
Idaho Other 000010148623 BLUE SHIELD

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