National Provider Identifier Database

IDAHO STATE UNIVERSITY HEALTH CENTER
Student Health


Contact Information

IDAHO STATE UNIVERSITY HEALTH CENTER
990 CESAR CHAVEZ AVE
POCATELLO, ID83209-0001
Phone: 208-282-2330
Fax: 208-282-4036
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for IDAHO STATE UNIVERSITY HEALTH CENTER

NPI Number 1336214618
Legal business name
LBN
IDAHO STATE UNIVERSITY HEALTH CENTER
Authorized official RONALD SOLBRIG - (DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 11/21/2006
Last updated 02/26/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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