Affiliated Neurologists Pllc

LBN: Affiliated Neurologists Pllc
Affiliated Neurologists Pllc is an health care organization with primary practice located at 338 6Th St Suite 102, Lewiston ID 83501-2419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Affiliated Neurologists Pllc can be contacted via phone (208) 746-3320, or through Keane, Mark Randall via phone (208) 746-3320.

Contact Information

Primary practice address
338 6Th St Suite 102 Lewiston ID 83501-2419
Phone: (208) 746-3320
Fax: (208) 746-8717
Website:
Map and Directions
Authorized official contact:
Name: Keane, Mark Randall Doctor of Medicine (MD)
Phone: (208) 746-3320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M7728 Idaho

Profile Details

NPI number 1316090426
LBN Legal business name Affiliated Neurologists Pllc
DBA Doing business as
Authorized official Keane, Mark Randall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316090426 NPPES
Washington MEDICAID 7088867

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