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Contact Information

MARY A STANGER, N. D
3728 N 3700 E
KIMBERLY, ID83341-5087
 Phone: 208-420-4460
 Fax: 208-423-9007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for MARY A STANGER · (Female)

NPI Number 1447527536
Status Active
Credentials N. D
Entity Individual
Enumeration date 11/17/2011
Last updated 11/17/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 003818076
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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