Asthma & Allergy Of Idaho Pllc

LBN: Asthma & Allergy Of Idaho Pllc
Asthma & Allergy Of Idaho Pllc is an health care organization with primary practice located at 1502 Locust St N Ste 600 , Twin Falls ID 83301-4164. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Asthma & Allergy Of Idaho Pllc can be contacted via phone (208) 734-6091, or through Wickern, Andrew via phone (208) 734-6091.

Contact Information

Primary practice address
1502 Locust St N Ste 600 Twin Falls ID 83301-4164
Phone: (208) 734-6091
Fax: (208) 734-4654
Website:
Map and Directions
Authorized official contact:
Name: Wickern, Andrew
Phone: (208) 734-6091

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X

Profile Details

NPI number 1427138734
LBN Legal business name Asthma & Allergy Of Idaho Pllc
DBA Doing business as
Authorized official Wickern, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Jan 14th, 2021 - about 3 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 1427138734 NPPES
Idaho MEDICAID 002736101
Idaho MEDICAID 807562300
Idaho MEDICAID 002736102
Idaho MEDICAID 002736105
Idaho MEDICAID 002736100
Idaho MEDICAID 002736200
Idaho MEDICAID 002736104
Idaho MEDICAID 002736202
Idaho MEDICAID 002736103
Idaho MEDICAID 807562301

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