Cloetingh, Daniel E

Cloetingh, Daniel E is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is his primary health care specialty. Cloetingh, Daniel E can be contacted via phone (484) 678-6367.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (484) 678-6367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X M-13713 Idaho

Profile Details

NPI number 1982961215
LBN Legal business name Cloetingh, Daniel E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Oct 20th, 2020 - about 4 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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