Vance, Carl David

Vance, Carl David is an individual health care provider with primary practice located at 3910 Washington Parkway , Idaho Falls ID 83404-7596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Vance, Carl David can be contacted via phone (208) 523-1122.

Contact Information

Primary practice address
3910 Washington Parkway Idaho Falls ID 83404-7596
Phone: (208) 523-1122
Fax: (208) 523-2582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X M7763 Idaho

Profile Details

NPI number 1437159423
LBN Legal business name Vance, Carl David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2005
Last updated Oct 15th, 2021 - about 4 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 1437159423 NPPES
Idaho Other 25853 BLUESHIELD OF IDAHO
Idaho Other 32035 BLUESHIELD OF IDAHO
Idaho Other 120165400 BLUESHIELD OF IDAHO
Idaho Other 110187174 BLUESHIELD OF IDAHO
Idaho MEDICAID 805400000 BLUESHIELD OF IDAHO
Idaho Other DZ643 BLUESHIELD OF IDAHO
Idaho Other 804012300 BLUESHIELD OF IDAHO

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