Duty, Laura M

Duty, Laura M is an individual health care provider with primary practice located at 1151 Hospital Way Bldg. F, Pocatello ID 83201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Duty, Laura M can be contacted via phone (208) 232-1443.

Contact Information

Primary practice address
1151 Hospital Way Bldg. F Pocatello ID 83201
Fax: (208) 239-3434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-11356 Idaho

Profile Details

NPI number 1992950802
LBN Legal business name Duty, Laura M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2008
Last updated Sep 23rd, 2016 - about 9 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 1992950802 NPPES
Idaho MEDICAID 808342900

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