Van Valin, Nathaniel Ashby
Van Valin, Nathaniel Ashby is an sole proprietor health care provider with primary practice located at 750 N Syringa St Ste 100 , Post Falls ID 83854-5275. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Van Valin, Nathaniel Ashby can be contacted via phone (208) 262-2600.Contact Information
Primary practice address
750 N Syringa St Ste 100
Post Falls ID 83854-5275
Phone: (208) 262-2600
Fax: (208) 262-2700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1482 | Idaho |
Profile Details
| NPI number | 1386821759 |
|---|---|
| LBN Legal business name | Van Valin, Nathaniel Ashby |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2008 |
| Last updated | Jul 17th, 2024 - about last year |
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 | 1386821759 | NPPES |
| Idaho | MEDICAID | 1386821759 |
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