Box, Lyndon C
Box, Lyndon C is an individual health care provider with primary practice located at 1906 Fairview Ave Ste 230 , Caldwell ID 83605-5432. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Box, Lyndon C can be contacted via phone (208) 459-4667.Contact Information
Primary practice address
1906 Fairview Ave Ste 230
Caldwell ID 83605-5432
Phone: (208) 459-4667
Fax: (208) 442-6520
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME91308 | Florida |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 061212 | Georgia |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME91308 | Florida |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M11945 | Idaho |
Profile Details
NPI number | 1174620512 |
---|---|
LBN Legal business name | Box, Lyndon C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 21st, 2022 - about 3 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 | 1174620512 | NPPES |
Florida | MEDICAID | 2813611-00 |
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