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
Phone: (208) 467-3432
Fax: (208) 467-4147
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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