Organization
CHASTAINS INC.
Active
Other names
Owl Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN M. AUER RPH (OWNER)
(208) 743-7766
Entity
Organization
Contact information
Practice address
312 SAINT JOHNS WAY, SUITE #2, LEWISTON, ID 83501-2451
(208) 743-7766
(208) 746-9937
Mailing address
312 SAINT JOHNS WAY, SUITE #2, LEWISTON, ID 83501-2451
(208) 743-7766
(208) 746-9937
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
DME124
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9034224
—
WA
Enumeration date
12/08/2006
Last updated
08/22/2020
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