Shoemaker, Carolyn Jean

Shoemaker, Carolyn Jean is an individual health care provider with primary practice located at 719 S Main St , Moscow ID 83843-3041. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Shoemaker, Carolyn Jean can be contacted via phone (208) 883-1152.

Contact Information

Primary practice address
719 S Main St Moscow ID 83843-3041
Phone: (208) 883-1152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-879 Idaho

Profile Details

NPI number 1477856649
LBN Legal business name Shoemaker, Carolyn Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2010
Last updated Jul 19th, 2024 - about 2 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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