Pearl Primary Care Pllc

LBN: Pearl Primary Care Pllc
Pearl Primary Care Pllc is an health care organization with primary practice located at 2705 E 17Th St Ste B , Ammon ID 83406-6601. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pearl Primary Care Pllc can be contacted via phone (208) 497-0566, or through Warren, Zakery via phone (208) 346-7500.

Contact Information

Primary practice address
2705 E 17Th St Ste B Ammon ID 83406-6601
Phone: (208) 497-0566
Fax: (208) 346-7501
Website:
Map and Directions
Authorized official contact:
Name: Warren, Zakery LCPC
Phone: (208) 346-7500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1720561103
LBN Legal business name Pearl Primary Care Pllc
DBA Doing business as
Authorized official Warren, Zakery LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2018
Last updated Sep 11th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720561103 NPPES
Idaho Other 1848 CITY OF AMMON BUSINESS LICENSE

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