Avila, Eduardo

Avila, Eduardo is an individual health care provider with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Avila, Eduardo can be contacted via phone (208) 782-3993.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 782-3993
Fax: (208) 782-3994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-9388 Idaho

Profile Details

NPI number 1760430367
LBN Legal business name Avila, Eduardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 28th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760430367 NPPES
Idaho Other 75390 BLUE CROSS OLD
Idaho Other 000010151099 BLUE CROSS OLD
Idaho Other HB400 BLUE CROSS OLD
Idaho Other 243412 BLUE CROSS OLD
Idaho Other 313067 BLUE CROSS OLD

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