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Contact Information

HEIDI M VAN GIFFEN, L.D.
6051 N EAGLE RD
BOISE, ID83713-0997
 Phone: 208-336-8873
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Denturist

122400000X
Indicates primary specialty

NPI Profile & details for HEIDI M VAN GIFFEN · (Female)

NPI Number 1700099694
Status Active
Credentials L.D.
Entity Individual
Enumeration date 05/07/2007
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ID License # LD-106
  • OR License # DT-DO-10112253
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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