Steele Lake Specialty Pllc

LBN: Steele Lake Specialty Pllc
Steele Lake Specialty Pllc is an health care organization with primary practice located at 3200 Channing Way Ste 206 , Idaho Falls ID 83404-7546. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Steele Lake Specialty Pllc can be contacted via phone (208) 529-2230, or through Ingle, Mackenzie via phone (208) 201-0215.

Contact Information

Primary practice address
3200 Channing Way Ste 206 Idaho Falls ID 83404-7546
Fax:
Website:
Authorized official contact:
Name: Ingle, Mackenzie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1215716998
LBN Legal business name Steele Lake Specialty Pllc
DBA Doing business as
Authorized official Ingle, Mackenzie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2023
Last updated Nov 30th, 2023 - about 3 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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