Etcheto, John Laurent
Etcheto, John Laurent is an individual health care provider with primary practice located at 176 Falls Avenue , Twin Falls ID 83301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Etcheto, John Laurent can be contacted via phone (208) 733-3181.Contact Information
Primary practice address
176 Falls Avenue
Twin Falls ID 83301
Phone: (208) 733-3181
Fax: (208) 733-3168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-476 | Idaho |
Profile Details
| NPI number | 1073547113 |
|---|---|
| LBN Legal business name | Etcheto, John Laurent |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | May 6th, 2024 - about 7 months 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 | 1073547113 | NPPES |
| Idaho | MEDICAID | 806757300 |
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