Mansfield, Vera Pauline

Mansfield, Vera Pauline is an sole proprietor health care provider with primary practice located at 2411 E Riverside Dr Apt H303 , Eagle ID 83616-7552. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. Mansfield, Vera Pauline can be contacted via phone (208) 724-2223.

Contact Information

Primary practice address
2411 E Riverside Dr Apt H303 Eagle ID 83616-7552
Phone: (208) 724-2223
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 109984 Idaho
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 109984 Idaho
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1740346188
LBN Legal business name Mansfield, Vera Pauline
Credentials CST, SA-C, CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Jan 25th, 2024 - about 10 months 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 1740346188 NPPES
Other 06-158 AM BOARD OF SURG ASSIST
Other 109984 AM BOARD OF SURG ASSIST

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