Mentzer, Caleb James
Mentzer, Caleb James is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Mentzer, Caleb James can be contacted via phone (208) 302-2600.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 302-2600
Fax: (208) 302-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 52097 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | R4098 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 52097 | South Carolina |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 076864 | Georgia |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | R4098 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | O-1974 | Idaho |
Profile Details
| NPI number | 1285920223 |
|---|---|
| LBN Legal business name | Mentzer, Caleb James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2011 |
| Last updated | May 14th, 2024 - about last year |
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 | 1285920223 | NPPES |
| South Carolina | MEDICAID | 520976 | |
| South Carolina | Other | SCE1287628 | |
| South Carolina | Other | SCE1283365 |
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