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Mr. Earl Cephas Chester JR.

Dermatologist

115 S 15th Ave
Pocatello , Idaho 83201

Write a Review Save Call QR Code

(208) 232-0432

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Mr. Earl Cephas Chester JR.

Dermatologist

115 S 15th Ave
Pocatello , Idaho 83201

(208) 232-0432

Write a Review Save Call

Mr. Earl Cephas Chester JR.

Dermatologist

115 S 15th Ave
Pocatello , Idaho 83201

(208) 232-0432 Call

Write a Review Save
About
Location
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Mr. Earl Cephas Chester JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatologist

Languages spoken

  • English

Location

115 S 15th Ave Pocatello , Idaho 83201
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First Address

  • Mr. Earl Cephas Chester JR.
  • 115 S 15th Ave
  • Pocatello, ID
  • Zip : 83201
  • Fax : (208) 232-0432
  • Phone : (208) 232-2106

Second Address

  • Mr. Earl Cephas Chester JR.
  • 115 S 15th Ave
  • Pocatello, ID
  • Zip : 83201
  • Fax : (208) 232-0432
  • Phone : (208) 232-2106

Reviews

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FAQs

Where did Mr. Earl Cephas Chester JR. attend graduate school?

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Where did Mr. Earl Cephas Chester JR. do his residency?

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Where did Mr. Earl Cephas Chester JR. do his fellowship?

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Is Mr. Earl Cephas Chester JR. board certified?

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What type of doctor is Mr. Earl Cephas Chester JR.

Dermatologist

In what state does Mr. Earl Cephas Chester JR. practice in?

Idaho

Where is Mr. Earl Cephas Chester JR.’s practice located?

115 S 15th Ave , Pocatello, Idaho, 83201

What is Mr. Earl Cephas Chester JR.’s gender?

Male

Is Mr. Earl Cephas Chester JR. a sole practitioner?

No

Is Mr. Earl Cephas Chester JR. accepting new patients?

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What languages does Mr. Earl Cephas Chester JR. speak?

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Does Mr. Earl Cephas Chester JR. accept insurance?

Yes, Mr. Earl Cephas Chester JR. accepts insurance

Does Mr. Earl Cephas Chester JR. offers telemedicine?

Mr. Earl Cephas Chester JR. has not indicated if he offers telemedicine

What is Mr. Earl Cephas Chester JR.’s professional license number?

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What is Mr. Earl Cephas Chester JR.’s NPI number?

1053469668

Does Mr. Earl Cephas Chester JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207N00000X Dermatologist M3346 ID

National Provider Identifier

NPI 1053469668
Provider Name Mr. Earl Cephas Chester JR.
First Address Pocatello, ID 83201
Second Address Pocatello, ID 83201
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/01/2007
Last Update Date 17/04/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1110276 MEDICARE PROVIDER (01) ID
D73450 (02)

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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