Buitrago, Martha I

Buitrago, Martha I is an individual health care provider with primary practice located at 3614 Washington Pkwy , Idaho Falls ID 83404-7573. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Buitrago, Martha I can be contacted via phone (208) 535-8400.

Contact Information

Primary practice address
3614 Washington Pkwy Idaho Falls ID 83404-7573
Phone: (208) 535-8400
Fax: (208) 535-8409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X M-8675 Idaho

Profile Details

NPI number 1356349492
LBN Legal business name Buitrago, Martha I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 5th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356349492 NPPES
Idaho MEDICAID 806532100

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