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Contact Information

DOROTHY PLAZA
700 S MAIN ST
MOSCOW, ID83843-3056
 Phone: 208-883-6341
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for DOROTHY PLAZA · (Female)

NPI # 1124547401
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2017
Last updated 09/18/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 50282
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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