Chenore, Michael A
Chenore, Michael A is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chenore, Michael A can be contacted via phone (208) 463-3234.Contact Information
Primary practice address
215 E Hawaii Ave
Nampa ID 83686-6011
Phone: (208) 463-3234
Fax: (208) 463-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-3894 | Idaho |
Profile Details
| NPI number | 1225028632 |
|---|---|
| LBN Legal business name | Chenore, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 14th, 2013 - about 12 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 | 1225028632 | NPPES |
| Idaho | Other | 000010002454 | BLUE SHIELD |
| Idaho | MEDICAID | 002363600 | BLUE SHIELD |
| Idaho | Other | 38943 | BLUE SHIELD |
| Idaho | Other | 806359800 | BLUE SHIELD |
| Idaho | Other | 080020408 | BLUE SHIELD |
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