Vance, Carol Klett

Vance, Carol Klett is an sole proprietor health care provider with primary practice located at 1619 Curlew Dr Ste 6 , Ammon ID 83406-4719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Vance, Carol Klett can be contacted via phone (208) 523-4688.

Contact Information

Primary practice address
1619 Curlew Dr Ste 6 Ammon ID 83406-4719
Fax: (208) 523-4990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X M9751 Idaho

Profile Details

NPI number 1417012022
LBN Legal business name Vance, Carol Klett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Mar 5th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417012022 NPPES
Idaho Other 000010158422 REGENCE BLUESHIELD
Idaho Other B6254 REGENCE BLUESHIELD

Popular Providers