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
Phone: (208) 342-3695
Fax: (208) 342-4065
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003853904 | NPPES |
Idaho | MEDICAID | 0025620000 |
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