Stoddard, Nicholas

Stoddard, Nicholas is an individual health care provider with primary practice located at 777 Hospital Way , Pocatello ID 83201-5175. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stoddard, Nicholas can be contacted via phone (208) 232-7760.

Contact Information

Primary practice address
777 Hospital Way Pocatello ID 83201-5175
Phone: (208) 232-7760
Fax: (208) 232-1950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-821A Idaho

Profile Details

NPI number 1225330954
LBN Legal business name Stoddard, Nicholas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Feb 13th, 2012 - about 13 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 1225330954 NPPES
Idaho Other RNA-821A CRNA LICENCE

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