Loban, Andrea
Loban, Andrea is an sole proprietor health care provider with primary practice located at 5049 Fox Creek Hollow , Victor ID 83455-0000. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Loban, Andrea can be contacted via phone (208) 201-3467.Contact Information
Primary practice address
5049 Fox Creek Hollow
Victor ID 83455-0000
Phone: (208) 201-3467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X |
Profile Details
| NPI number | 1902205230 |
|---|---|
| LBN Legal business name | Loban, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Aug 22nd, 2014 - about 12 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 | 1902205230 | NPPES |
| Wyoming | Other | 127612300 | MEDICAID PROVIDER NUMBER |
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