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Contact Information

NANETTE C FORD, PA C
180 EAST AVENUE
KETCHUM, ID83340
 Phone: 208-725-0900
 Fax: 208-725-0901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANETTE C FORD · (Female)

NPI Number 1306055850
Status Active
Credentials PA C
Entity Individual
Enumeration date 05/22/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ID License # PA126
  • Other PA126 STATE LICENSE
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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