Wyatt, Casi Mcpherson
Wyatt, Casi Mcpherson is an individual health care provider with primary practice located at 125 E Idaho St Suite 203, Boise ID 83712-6212. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Wyatt, Casi Mcpherson can be contacted via phone (208) 338-0148.Contact Information
Primary practice address
125 E Idaho St Suite 203
Boise ID 83712-6212
Phone: (208) 338-0148
Fax: (208) 336-4027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3714 | Iowa |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | O-0530 | Idaho |
Profile Details
| NPI number | 1083716153 |
|---|---|
| LBN Legal business name | Wyatt, Casi Mcpherson |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jun 9th, 2009 - about 17 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 | 1083716153 | NPPES |
| Iowa | Other | 26705 | WELLMARK BCBS |
| Iowa | MEDICAID | 0731364 | WELLMARK BCBS |
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