Seanne Jo Safaii, | |
1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | |
(208) 660-7950 | |
Not Available |
Full Name | Seanne Jo Safaii |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1100 Heaven's Gate Ct. #1910, Mccall, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255897708 | NPI | - | NPPES |
D-750 | Other | ID | IDAHO STATE BOARD OF MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-750 (Idaho) | Primary |
Provider Name | St Lukes Clinic - Mccall Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881982510 PECOS PAC ID: 7618127994 Enrollment ID: O20121120000225 |
Mailing Address | Practice Location Address |
---|---|
Seanne Jo Safaii, 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 Ph: (208) 660-7950 | Seanne Jo Safaii, 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 Ph: (208) 660-7950 |
St Lukes Mccall Clinics Dietitian Medicare: Not Enrolled in Medicare Practice Location: 209 Forest St, Mccall, ID 83638 Phone: 208-634-2221 | |
Susan Mccandless, RLD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 State St, Mccall, ID 83638 Phone: 208-634-2221 | |
Rachel Arndt, R.D.L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 203 Hewitt St, Mccall, ID 83638 Phone: 208-634-1400 Fax: 208-634-4044 |