Fife, Errol Chandler

Fife, Errol Chandler is an individual health care provider with primary practice located at 1675 Hill Rd , Boise ID 83702-0982. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fife, Errol Chandler can be contacted via phone (208) 342-3695.

Contact Information

Primary practice address
1675 Hill Rd Boise ID 83702-0982
Fax: (208) 342-4065
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D-1587 Idaho

Profile Details

NPI number 1003853904
LBN Legal business name Fife, Errol Chandler
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1003853904 NPPES
Idaho MEDICAID 0025620000

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