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Contact Information

JOHN L ETCHETO, PA
176 FALLS AVENUE
TWIN FALLS, ID83301
 Phone: 208-733-3181
 Fax: 208-733-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN L ETCHETO · (Male)

NPI Number 1073547113
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/11/2006
Last updated 05/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA-476
  • ID Medicaid 806757300
Hospital affiliation(s)
  • NORTH CANYON MEDICAL CENTER - (Critical Access)
    267 NORTH CANYON DR
    GOODING, ID 83330
  • ST LUKES MAGIC VALLEY RMC - (Acute Care)
    801 POLE LINE ROAD WEST
    TWIN FALLS, ID 83301
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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