Staker, Tate Coltan
Staker, Tate Coltan is an sole proprietor health care provider with primary practice located at 130 W Main St , Rexburg ID 83440-1827. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Staker, Tate Coltan can be contacted via phone (208) 356-8818.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-1932 | Idaho |
Profile Details
| NPI number | 1184253585 |
|---|---|
| LBN Legal business name | Staker, Tate Coltan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2020 |
| Last updated | Oct 28th, 2021 - about 5 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.
Popular Providers
-
Smith, Sheri
32 W 1St S , Rexburg ID 83440-1810 -
Hurd, Chad W
375 S 5000 W , Rexburg ID 83440-3693 -
Anderson, Terry J.
100 Shc Drive Byui , Rexburg ID 83460-2010 -
Larsen, Brennen
21 Winn Dr , Rexburg ID 83440-5277 -
Barcelo, Laura Anne
32 W 1St S , Rexburg ID 83440-1810 -
Sena, Gary R
37 S 2Nd E , Rexburg ID 83440-1906 -
Hansen, Bryant
72 S 1St E Ste 101 , Rexburg ID 83440-1965 -
Perez, Rebecca L
393 E 2Nd N , Rexburg ID 83440-1605