Fall, Laura M

Fall, Laura M is an individual health care provider with primary practice located at 801 Pole Line Rd W Suite 3880, Twin Falls ID 83301-5810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fall, Laura M can be contacted via phone (208) 814-8500.

Contact Information

Primary practice address
801 Pole Line Rd W Suite 3880 Twin Falls ID 83301-5810
Phone: (208) 814-8500
Fax: (208) 814-8596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M6080 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6080 Idaho

Profile Details

NPI number 1518924026
LBN Legal business name Fall, Laura M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 24th, 2020 - about 5 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 1518924026 NPPES
Idaho MEDICAID 000209800

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