Chester, Earl Cephas
Chester, Earl Cephas is an individual health care provider with primary practice located at 115 S 15Th Ave , Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Chester, Earl Cephas can be contacted via phone (208) 232-2106.Contact Information
Primary practice address
115 S 15Th Ave
Pocatello ID 83201
Phone: (208) 232-2106
Fax: (208) 232-0432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M3346 | Idaho |
Profile Details
| NPI number | 1053469668 |
|---|---|
| LBN Legal business name | Chester, Earl Cephas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Apr 17th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053469668 | NPPES |
| Idaho | Other | 1110276 | MEDICARE PROVIDER |
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