Agnew, Ann C
Agnew, Ann C is an individual health care provider with primary practice located at 3080 E Gentry Way Ste 210 , Meridian ID 83642-3013. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Agnew, Ann C can be contacted via phone (208) 947-5390.Contact Information
Primary practice address
3080 E Gentry Way Ste 210
Meridian ID 83642-3013
Phone: (208) 947-5390
Fax: (208) 947-3465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M9138 | Idaho |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M9138 | Idaho |
Profile Details
| NPI number | 1497797302 |
|---|---|
| LBN Legal business name | Agnew, Ann C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 16th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497797302 | NPPES |
| Idaho | MEDICAID | 806964100 |
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