Undesser, Karl P

Undesser, Karl P is an individual health care provider with primary practice located at 1906 Fairview Ave Ste 230 , Caldwell ID 83605-5432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Undesser, Karl P can be contacted via phone (208) 795-5073.

Contact Information

Primary practice address
1906 Fairview Ave Ste 230 Caldwell ID 83605-5432
Phone: (208) 795-5073
Fax: (208) 402-3181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X M6986 Idaho

Profile Details

NPI number 1013961242
LBN Legal business name Undesser, Karl P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jan 27th, 2022 - about 2 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 1013961242 NPPES
Idaho MEDICAID 1013961242

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