Ficklin, Daryl G

Ficklin, Daryl G is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 302, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ficklin, Daryl G can be contacted via phone (208) 814-8600.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 302 Twin Falls ID 83301-5814
Phone: (208) 814-8600
Fax: (208) 814-8942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O0551 Idaho

Profile Details

NPI number 1346213303
LBN Legal business name Ficklin, Daryl G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 29th, 2014 - about 11 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 1346213303 NPPES
Idaho MEDICAID 808524600
Idaho Other P00809329

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