Ladle, Carol
Ladle, Carol is an individual health care provider with primary practice located at 15 Madison Professional Park , Rexburg ID 83440-2057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ladle, Carol can be contacted via phone (208) 356-6185.Contact Information
Primary practice address
15 Madison Professional Park
Rexburg ID 83440-2057
Phone: (208) 356-6185
Fax: (208) 356-0378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-481A | Idaho |
Profile Details
| NPI number | 1619044039 |
|---|---|
| LBN Legal business name | Ladle, Carol |
| Credentials | F.N.P.-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619044039 | NPPES |
| Idaho | Other | NP-481A | IDAHO LICENSE |
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