Chrisman, Andrew Beth
Chrisman, Andrew Beth is an individual health care provider with primary practice located at 704 N 17Th Street , Boise ID 83702-3905. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chrisman, Andrew Beth can be contacted via phone (208) 344-0134.Contact Information
Primary practice address
704 N 17Th Street
Boise ID 83702-3905
Phone: (208) 344-0134
Fax: (208) 388-3990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D 1935 | Idaho |
Profile Details
| NPI number | 1043373210 |
|---|---|
| LBN Legal business name | Chrisman, Andrew Beth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1043373210 | NPPES |
| Idaho | Other | 6P102 | BLUE CROSS |
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