Daniel, Beau S.

Daniel, Beau S. is an individual health care provider with primary practice located at 285 Vista Dr , Pocatello ID 83201-4987. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Daniel, Beau S. can be contacted via phone (208) 478-1704.

Contact Information

Primary practice address
285 Vista Dr Pocatello ID 83201-4987
Phone: (208) 478-1704
Fax: (770) 701-6673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA-936A Idaho

Profile Details

NPI number 1760712327
LBN Legal business name Daniel, Beau S.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2010
Last updated Aug 14th, 2019 - about 5 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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