Budolfson, Anna M
Budolfson, Anna M is an individual health care provider with primary practice located at 9203 W Overland Rd , Boise ID 83709-2502. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Budolfson, Anna M can be contacted via phone (208) 375-1012.Contact Information
Primary practice address
9203 W Overland Rd
Boise ID 83709-2502
Phone: (208) 375-1012
Fax: (208) 375-1098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D4007 | Idaho |
Profile Details
| NPI number | 1841353018 |
|---|---|
| LBN Legal business name | Budolfson, Anna M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Feb 9th, 2023 - about 2 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 | 1841353018 | NPPES |
| Idaho | Other | 6P100 | BLUE CROSS |
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