Koepl, Carmen Lee

Koepl, Carmen Lee is an individual health care provider with primary practice located at 803 S Main St Ste 120 , Moscow ID 83843-2695. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Koepl, Carmen Lee can be contacted via phone (208) 848-8300.

Contact Information

Primary practice address
803 S Main St Ste 120 Moscow ID 83843-2695
Phone: (208) 848-8300
Fax: (208) 882-5587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH60888742 Washington
Dental Providers / Dental Hygienist 124Q00000X DH-3679 Idaho

Profile Details

NPI number 1073095501
LBN Legal business name Koepl, Carmen Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2018
Last updated Mar 31st, 2021 - about 4 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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