Hardin, Creighton Alves

Hardin, Creighton Alves is an individual health care provider with primary practice located at 1151 Hospital Way Building F, Pocatello ID 83201-5091. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Hardin, Creighton Alves can be contacted via phone (208) 232-1443.

Contact Information

Primary practice address
1151 Hospital Way Building F Pocatello ID 83201-5091
Phone: (208) 232-1443
Fax: (208) 239-3434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X M3986 Idaho

Profile Details

NPI number 1942202957
LBN Legal business name Hardin, Creighton Alves
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Nov 2nd, 2012 - about 13 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 1942202957 NPPES
Idaho MEDICAID 003746600

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