Baxter, Clarissa Jo
Baxter, Clarissa Jo is an sole proprietor health care provider with primary practice located at 2910 E Castleberg Loop , Nampa ID 83686-7196. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Baxter, Clarissa Jo can be contacted via phone (208) 800-1948.Contact Information
Primary practice address
2910 E Castleberg Loop
Nampa ID 83686-7196
Phone: (208) 800-1948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | MID-106 | Idaho |
Profile Details
| NPI number | 1750999082 |
|---|---|
| LBN Legal business name | Baxter, Clarissa Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2020 |
| Last updated | Jul 28th, 2020 - about 5 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 | 1750999082 | NPPES |
| Idaho | Other | MID-106 | STATE LICENSE |
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