Odegard, Crystal Noel

Odegard, Crystal Noel is an individual health care provider with primary practice located at 1079 S Ancona Ave Ste 100 , Eagle ID 83616-7443. 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. Odegard, Crystal Noel can be contacted via phone (208) 853-2273.

Contact Information

Primary practice address
1079 S Ancona Ave Ste 100 Eagle ID 83616-7443
Phone: (208) 853-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1982 Idaho

Profile Details

NPI number 1962081810
LBN Legal business name Odegard, Crystal Noel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2021
Last updated Apr 7th, 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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