Croitoru, Raquel

Croitoru, Raquel is an individual health care provider with primary practice located at 222 W Iowa Ave Ste A , Nampa ID 83686-6814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Croitoru, Raquel can be contacted via phone (208) 467-3432.

Contact Information

Primary practice address
222 W Iowa Ave Ste A Nampa ID 83686-6814
Fax: (208) 467-4147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-5744 Idaho

Profile Details

NPI number 1164525853
LBN Legal business name Croitoru, Raquel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Feb 5th, 2013 - about 11 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 1164525853 NPPES
Idaho Other 820451495 TAX I.D. NUMBER
Idaho Other 000010004790 TAX I.D. NUMBER
Idaho MEDICAID 002701100 TAX I.D. NUMBER
Idaho Other 57448 TAX I.D. NUMBER

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