Borgholthaus, Lana
Borgholthaus, Lana is an individual health care provider with primary practice located at 465 Memorial Dr , Pocatello ID 83201-4008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Borgholthaus, Lana can be contacted via phone (208) 282-4700.Contact Information
Primary practice address
465 Memorial Dr
Pocatello ID 83201-4008
Phone: (208) 282-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA590 | Idaho |
Profile Details
| NPI number | 1255315974 |
|---|---|
| LBN Legal business name | Borgholthaus, Lana |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Feb 24th, 2009 - about 16 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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