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Contact Information

TRANSFORMATIONS IDAHO PLLC
2857 S MERIDIAN RD
100
MERIDIAN, ID83642-7960
 Phone: 208-639-7300
 Fax: 208-287-8330
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TRANSFORMATIONS IDAHO PLLC · (Female)

NPI Number 1609245109
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2015
Last updated 09/15/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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