Parent, Michael K
Parent, Michael K is an individual health care provider with primary practice located at 1630 23Rd Ave Suite 701, Lewiston ID 83501-6350. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Parent, Michael K can be contacted via phone (208) 743-3998.Contact Information
Primary practice address
1630 23Rd Ave Suite 701
Lewiston ID 83501-6350
Phone: (208) 743-3998
Fax: (208) 746-4879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | M4475 | Idaho |
Profile Details
| NPI number | 1578552139 |
|---|---|
| LBN Legal business name | Parent, Michael K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | May 1st, 2008 - 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 | 1578552139 | NPPES |
| Idaho | MEDICAID | 001224600 |
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