Ley, Carl E

Ley, Carl E is an individual health care provider with primary practice located at 700 W Ironwood Dr Suite 110, Coeur D Alene ID 83814-2656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ley, Carl E can be contacted via phone (208) 666-3200.

Contact Information

Primary practice address
700 W Ironwood Dr Suite 110 Coeur D Alene ID 83814-2656
Fax: (208) 666-3217
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M5434 Idaho

Profile Details

NPI number 1659373546
LBN Legal business name Ley, Carl E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 8th, 2008 - about 16 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 1659373546 NPPES
Washington MEDICAID 8136269
Washington Other D8728
Washington Other 54346
Washington Other P00093831
Washington Other 1121411
Washington Other B1287

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