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Contact Information

SARAH CHISM
190 E BANNOCK ST
BOISE, ID83712-6241
 Phone: 208-381-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for SARAH CHISM · (Female)

NPI Number 1679256549
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2023
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 3371280
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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