Mahal, Robert Scott

Mahal, Robert Scott is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Mahal, Robert Scott can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-929A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP60630470 Washington

Profile Details

NPI number 1063745206
LBN Legal business name Mahal, Robert Scott
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2009
Last updated Mar 7th, 2016 - about 9 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 1063745206 NPPES
Idaho Other P01588034 RAILROAD MEDICARE-IDAHO
Idaho MEDICAID 1063745206 RAILROAD MEDICARE-IDAHO
Idaho MEDICAID 1063745206 RAILROAD MEDICARE-IDAHO

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