Stoddard, Earl
Stoddard, Earl is an sole proprietor health care provider with primary practice located at 147 W Chubbuck Rd , Chubbuck ID 83202-2314. He recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as his primary health care specialty. Stoddard, Earl can be contacted via phone (208) 238-7546.Contact Information
Primary practice address
147 W Chubbuck Rd
Chubbuck ID 83202-2314
Phone: (208) 238-7546
Fax: (208) 237-9643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | M9280 | Idaho |
Profile Details
| NPI number | 1760400238 |
|---|---|
| LBN Legal business name | Stoddard, Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 18th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760400238 | NPPES |
| Idaho | MEDICAID | 807206400 | |
| Idaho | Other | P00239843 |
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