Kaczmarek, Linda
Kaczmarek, Linda is an sole proprietor health care provider with primary practice located at 214 S Midland Blvd , Nampa ID 83686-2602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kaczmarek, Linda can be contacted via phone (208) 465-6900.Contact Information
Primary practice address
214 S Midland Blvd
Nampa ID 83686-2602
Phone: (208) 465-6900
Fax: (208) 465-6911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51010162602 | Michigan |
Profile Details
| NPI number | 1104896000 |
|---|---|
| LBN Legal business name | Kaczmarek, Linda |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Feb 8th, 2013 - about 11 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 | 1104896000 | NPPES |
| Michigan | MEDICAID | 4767365 |
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