National Provider Identifier Database

ST LUKES CHILDRENS
Children


Contact Information

ST. LUKE'S CHILDREN'S
190 E BANNOCK ST
BOISE, ID83712-6241
Phone: 208-381-2804
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for ST. LUKE'S CHILDREN'S

NPI Number 1114301181
Legal business name
LBN
ST. LUKE'S CHILDREN'S
Authorized official KRISTIN BOOTON - (SPEECH LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart Yes
Enumeration date 07/19/2015
Last updated 07/19/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: SLP-2765
  • Other: 12099045 ASHA
  • ID Other: SLP-2765 IDAHO SPEECH AND HEARING ASSOCIATION

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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