Kaltenbaugh, Lisa L

Kaltenbaugh, Lisa L is an sole proprietor health care provider with primary practice located at 307 Saint Johns Way Ste 1 , Lewiston ID 83501-2435. She recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as her primary health care specialty. Kaltenbaugh, Lisa L can be contacted via phone (208) 746-5132.

Contact Information

Primary practice address
307 Saint Johns Way Ste 1 Lewiston ID 83501-2435
Phone: (208) 746-5132
Fax: (208) 746-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 16540 Idaho

Profile Details

NPI number 1619061447
LBN Legal business name Kaltenbaugh, Lisa L
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 19th, 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 1619061447 NPPES
Idaho Other 000010135951 BLUE SHIELD
Idaho Other 32268 BLUE SHIELD

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