Wheeler, Laramie L.
Wheeler, Laramie L. is an sole proprietor health care provider with primary practice located at 2410 E 25Th St , Idaho Falls ID 83404. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wheeler, Laramie L. can be contacted via phone (208) 557-0200.Contact Information
Primary practice address
2410 E 25Th St
Idaho Falls ID 83404
Phone: (208) 557-0200
Fax: (208) 542-5080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MR0836 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-0426 | Idaho |
Profile Details
| NPI number | 1801889456 |
|---|---|
| LBN Legal business name | Wheeler, Laramie L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 22nd, 2018 - about 6 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 | 1801889456 | NPPES |
| Idaho | MEDICAID | 807243000 |
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