Perkes, Charlynn S.

Perkes, Charlynn S. is an individual health care provider with primary practice located at 495 Yellowstone Ave Physicians Immediate Care Center, Pocatello ID 83201. 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. Perkes, Charlynn S. can be contacted via phone (208) 478-7422.

Contact Information

Primary practice address
495 Yellowstone Ave Physicians Immediate Care Center Pocatello ID 83201
Fax: (208) 478-1515
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PENDING Idaho

Profile Details

NPI number 1558545624
LBN Legal business name Perkes, Charlynn S.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - about 19 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 1558545624 NPPES
Idaho Other PENDING STATE LICENSE PENDING

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