Bothwell, Glenn C
Bothwell, Glenn C is an individual health care provider with primary practice located at 703 S Americana Blvd , Boise ID 83702-5099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Bothwell, Glenn C can be contacted via phone (208) 706-7500.Contact Information
Primary practice address
703 S Americana Blvd
Boise ID 83702-5099
Phone: (208) 706-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | M3165 | Idaho |
Profile Details
| NPI number | 1235183054 |
|---|---|
| LBN Legal business name | Bothwell, Glenn C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 16th, 2011 - about 13 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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