Diaz, Mercedes
Diaz, Mercedes is an individual health care provider with primary practice located at 267 N Canyon Dr , Gooding ID 83330-5500. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Diaz, Mercedes can be contacted via phone (208) 934-4446.Contact Information
Primary practice address
267 N Canyon Dr
Gooding ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1538662895 |
|---|---|
| LBN Legal business name | Diaz, Mercedes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Mar 13th, 2018 - about 7 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 | 1538662895 | NPPES |
| Idaho | MEDICAID | 1184932584 |
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