Elliott, Korth B
Elliott, Korth B is an individual health care provider with primary practice located at 8219 Northview St , Boise ID 83704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Elliott, Korth B can be contacted via phone (208) 378-9280.Contact Information
Primary practice address
8219 Northview St
Boise ID 83704
Phone: (208) 378-9280
Fax: (208) 378-9240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D1996 | Idaho |
Profile Details
| NPI number | 1477683019 |
|---|---|
| LBN Legal business name | Elliott, Korth B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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