Egbert, Colette
Egbert, Colette is an individual health care provider with primary practice located at 3320 S 25Th E , Idaho Falls ID 83404-4606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Egbert, Colette can be contacted via phone (208) 656-1500.Contact Information
Primary practice address
3320 S 25Th E
Idaho Falls ID 83404-4606
Phone: (208) 656-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 58152 | Idaho |
Profile Details
| NPI number | 1649774860 |
|---|---|
| LBN Legal business name | Egbert, Colette |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2018 |
| Last updated | Mar 21st, 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 | 1649774860 | NPPES |
| Idaho | Other | 58152 | NP LICENSE |
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