Herbst, Susan E

Herbst, Susan E is an individual health care provider with primary practice located at 2000 Kootenai Health Way , Coeur D Alene ID 83814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Herbst, Susan E can be contacted via phone (208) 666-2000.

Contact Information

Primary practice address
2000 Kootenai Health Way Coeur D Alene ID 83814
Fax: (208) 666-3963
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X CNS-10A Idaho

Profile Details

NPI number 1679567465
LBN Legal business name Herbst, Susan E
Credentials PN MS AOCN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Feb 26th, 2010 - about 14 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 1679567465 NPPES
Idaho MEDICAID 806210600

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