Sisul, Danielle Kiggins

Sisul, Danielle Kiggins is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Sisul, Danielle Kiggins can be contacted via phone (208) 785-4100.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DR.0054868 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A110532 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-13396 Idaho

Profile Details

NPI number 1023275914
LBN Legal business name Sisul, Danielle Kiggins
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2008
Last updated Jun 13th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023275914 NPPES
Colorado MEDICAID 24776254

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