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
Phone: (208) 523-4688
Fax: (208) 523-4990
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417012022 | NPPES |
| Idaho | Other | 000010158422 | REGENCE BLUESHIELD |
| Idaho | Other | B6254 | REGENCE BLUESHIELD |
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