Nevel, Etta Kathryn
Nevel, Etta Kathryn is an individual health care provider with primary practice located at 315 E Elm St Ste 310 , Caldwell ID 83605-4881. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nevel, Etta Kathryn can be contacted via phone (208) 454-2035.Contact Information
Primary practice address
315 E Elm St Ste 310
Caldwell ID 83605-4881
Phone: (208) 454-2035
Fax: (208) 454-1065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 70981 | Minnesota |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MC-0237 | Idaho |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01027832A | Indiana |
Profile Details
| NPI number | 1588616627 |
|---|---|
| LBN Legal business name | Nevel, Etta Kathryn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 10th, 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 | 1588616627 | NPPES |
| Indiana | MEDICAID | 100083520A |
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