Belcourt, Crystal Gail

Belcourt, Crystal Gail is an individual health care provider with primary practice located at 1620 S Kimball Ave , Caldwell ID 83605-4547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Belcourt, Crystal Gail can be contacted via phone (208) 505-2950.

Contact Information

Primary practice address
1620 S Kimball Ave Caldwell ID 83605-4547
Fax: (208) 505-2955
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 58461 Idaho

Profile Details

NPI number 1194226837
LBN Legal business name Belcourt, Crystal Gail
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated May 8th, 2018 - about 7 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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