SearchIdaho104100000X

Daniel Ault

NPI 1437658044 · on the registry since 2018

Practice

Address
314 Badiola St
Caldwell, ID 83605
Phone
(208) 454-8389
Fax
(208) 454-8404
Organisation at this address
Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc
Human Supports Of Idaho, Inc.
Human Supports Of Idaho, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho