Additon, Mara

Additon, Mara is an individual health care provider with primary practice located at 777 Hospital Way Ste 201 , Pocatello ID 83201-5175. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Additon, Mara can be contacted via phone (208) 239-2620.

Contact Information

Primary practice address
777 Hospital Way Ste 201 Pocatello ID 83201-5175
Phone: (208) 239-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X M-14265 Idaho

Profile Details

NPI number 1184067613
LBN Legal business name Additon, Mara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2013
Last updated Sep 13th, 2018 - about 6 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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