Chambers, John D
Chambers, John D is an individual health care provider with primary practice located at 2985 Cortez Ave , Idaho Falls ID 83404-7554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Chambers, John D can be contacted via phone (208) 523-3373.Contact Information
Primary practice address
2985 Cortez Ave
Idaho Falls ID 83404-7554
Phone: (208) 523-3373
Fax: (208) 523-8746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | M-7163 | Idaho |
Profile Details
NPI number | 1578568242 |
---|---|
LBN Legal business name | Chambers, John D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2005 |
Last updated | Aug 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578568242 | NPPES |
Other | DG852 | BLUE CROSS | |
MEDICAID | 805054100 | BLUE CROSS | |
Other | 25734 | BLUE CROSS |
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