Mauk, Kalyn C
Mauk, Kalyn C is an sole proprietor health care provider with primary practice located at 2366 N Raymond St , Boise ID 83704-7518. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Mauk, Kalyn C can be contacted via phone (208) 859-7542.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 110099 | Idaho |
Profile Details
| NPI number | 1154613198 |
|---|---|
| LBN Legal business name | Mauk, Kalyn C |
| Credentials | CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2011 |
| Last updated | Jul 31st, 2013 - about 12 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 | 1154613198 | NPPES |
| Idaho | Other | NCMR3 | BLUE CROSS OF IDAHO |
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