Boise Basin Infertility & Gynecology, P.A.

LBN: Boise Basin Infertility & Gynecology, P.A.
Boise Basin Infertility & Gynecology, P.A. is an health care organization with primary practice located at 811 N 6Th St , Boise ID 83702-5545. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Boise Basin Infertility & Gynecology, P.A. can be contacted via phone (208) 345-2006, or through Krueger, Philip M via phone (208) 345-2006.

Contact Information

Primary practice address
811 N 6Th St Boise ID 83702-5545
Phone: (208) 345-2006
Fax: (208) 345-1408
Website:
Map and Directions
Authorized official contact:
Name: Krueger, Philip M
Phone: (208) 345-2006

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-3549 Idaho

Profile Details

NPI number 1831285857
LBN Legal business name Boise Basin Infertility & Gynecology, P.A.
DBA Doing business as
Authorized official Krueger, Philip M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated May 15th, 2008 - about 17 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 1831285857 NPPES
Idaho MEDICAID 002515100
Idaho MEDICAID 002515101
Idaho Other DK093
Idaho Other 000010004456
Idaho MEDICAID 002515102

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