Gerosin-Shaffer, Katherine Dawn

Gerosin-Shaffer, Katherine Dawn is an sole proprietor health care provider with primary practice located at 7437 W Kerry Dr , Boise ID 83714-2080. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Gerosin-Shaffer, Katherine Dawn can be contacted via phone (208) 412-4126.

Contact Information

Primary practice address
7437 W Kerry Dr Boise ID 83714-2080
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X MID-122 Idaho

Profile Details

NPI number 1962167338
LBN Legal business name Gerosin-Shaffer, Katherine Dawn
Credentials CPM, LM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 4 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 1962167338 NPPES
Idaho Other MID-122 MIDWIFE

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