Hesse, Philip C
Hesse, Philip C is an sole proprietor health care provider with primary practice located at 2377 Coronado St , Idaho Falls ID 83404-7440. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hesse, Philip C can be contacted via phone (208) 557-2570.Contact Information
Primary practice address
2377 Coronado St
Idaho Falls ID 83404-7440
Phone: (208) 557-2570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA87 | Idaho |
Profile Details
| NPI number | 1811975386 |
|---|---|
| LBN Legal business name | Hesse, Philip C |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jan 10th, 2019 - about 5 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 | 1811975386 | NPPES |
| Idaho | Other | PASPA | BLUE CHOICE |
| Idaho | MEDICAID | 806633300 | BLUE CHOICE |
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