Eshelman, Charlotte G

Eshelman, Charlotte G is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Eshelman, Charlotte G can be contacted via phone (208) 463-3234.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Fax: (208) 463-3044
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP218A Idaho

Profile Details

NPI number 1366432395
LBN Legal business name Eshelman, Charlotte G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 17th, 2018 - about 6 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 1366432395 NPPES
Idaho Other 500010804 RR MEDICARE
Idaho Other NP182 RR MEDICARE
Idaho Other 000010015763 RR MEDICARE
Idaho MEDICAID 004365200 RR MEDICARE
Idaho Other NP091 RR MEDICARE
Idaho Other 000010015764 RR MEDICARE

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