Magic Valley Foot & Ankle Specialist
LBN: Craig D Holman Chartered
Magic Valley Foot & Ankle Specialist is an health care organization with primary practice located at 496 Shoup Ave W # B , Twin Falls ID 83301-5043. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Craig D Holman Chartered can be contacted via phone (208) 734-7676, or through Holman, Craig D via phone (208) 734-7676.
Contact Information
Primary practice address
496 Shoup Ave W # B
Twin Falls ID 83301-5043
Phone: (208) 734-7676
Fax: (208) 736-8378
Website:
Authorized official contact:
Name: Holman, Craig D Doctor of Podiatric Medicine (DPM)
Phone: (208) 734-7676
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P119 | Idaho |
Profile Details
| NPI number | 1609085455 |
|---|---|
| LBN Legal business name | Craig D Holman Chartered |
| DBA Doing business as | Magic Valley Foot & Ankle Specialist |
| Authorized official | Holman, Craig D Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jun 21st, 2018 - about 6 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 | 1609085455 | NPPES |
| Idaho | Other | 185440600 | US DEPT OF LABOR |
| Idaho | Other | 4134570001 | US DEPT OF LABOR |
| Idaho | Other | 480031477 | US DEPT OF LABOR |
| Idaho | Other | 000010152611 | US DEPT OF LABOR |
| Idaho | Other | P9343 | US DEPT OF LABOR |
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