Carol Klett Vance Md, Inc.
LBN: Carol Klett Vance Md, Inc.
Carol Klett Vance Md, Inc. is an health care organization with primary practice located at 1619 Curlew Dr Suite 6, Ammon ID 83406-4719. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as the primary health care specialty.
Carol Klett Vance Md, Inc. can be contacted via phone (208) 523-4688, or through Vance, Carol Klett via phone (208) 523-4688.
Contact Information
Primary practice address
1619 Curlew Dr Suite 6
Ammon ID 83406-4719
Phone: (208) 523-4688
Fax: (208) 523-4990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | M9751 | Idaho |
Profile Details
| NPI number | 1346410321 |
|---|---|
| LBN Legal business name | Carol Klett Vance Md, Inc. |
| DBA Doing business as | |
| Authorized official | Vance, Carol Klett Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 6th, 2008 |
| Last updated | Mar 6th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346410321 | NPPES |
| Idaho | MEDICAID | 807573500 | |
| Idaho | Other | 2618808087 | |
| Idaho | Other | 000010158422 | |
| Idaho | Other | B6254 | |
| Idaho | Other | 123868000 |
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