Koerner, Todd Edward

Koerner, Todd Edward is an individual health care provider with primary practice located at 2325 Coronado St. , Idaho Falls ID 83404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koerner, Todd Edward can be contacted via phone (812) 237-0211.

Contact Information

Primary practice address
2325 Coronado St. Idaho Falls ID 83404
Phone: (812) 237-0211
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28158908A Indiana

Profile Details

NPI number 1588662878
LBN Legal business name Koerner, Todd Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Nov 17th, 2022 - about 4 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 1588662878 NPPES
Indiana MEDICAID 200459230

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