Rasmussen, Stanley K
Rasmussen, Stanley K is an individual health care provider with primary practice located at 1800 Lincoln Way Suite 100, Coeur D Alene ID 83814-2570. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rasmussen, Stanley K can be contacted via phone (208) 765-3322.Contact Information
Primary practice address
1800 Lincoln Way Suite 100
Coeur D Alene ID 83814-2570
Phone: (208) 765-3322
Fax: (208) 765-1024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D1899 | Idaho |
Profile Details
| NPI number | 1922273770 |
|---|---|
| LBN Legal business name | Rasmussen, Stanley K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2008 |
| Last updated | Apr 23rd, 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 | 1922273770 | NPPES |
| Idaho | MEDICAID | 000458500 |
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