Koerner, Todd Edward
Koerner, Todd Edward is an individual health care provider with primary practice located at 2325 Coronado St. , Idaho Falls ID 83404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Koerner, Todd Edward can be contacted via phone (812) 237-0211.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 28158908A | Indiana |
Profile Details
NPI number | 1588662878 |
---|---|
LBN Legal business name | Koerner, Todd Edward |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2005 |
Last updated | Nov 17th, 2022 - about 2 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 | 1588662878 | NPPES |
Indiana | MEDICAID | 200459230 |
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