Carrington, Stewart G

Carrington, Stewart G is an individual health care provider with primary practice located at 203 S Daisy , Salmon ID 83467-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Carrington, Stewart G can be contacted via phone (208) 756-5600.

Contact Information

Primary practice address
203 S Daisy Salmon ID 83467-0000
Fax: (208) 756-4169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-5749 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M-5749 Idaho

Profile Details

NPI number 1720181639
LBN Legal business name Carrington, Stewart G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Dec 19th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720181639 NPPES
Idaho MEDICAID 002132700

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