Chisholm, Donald Robert

Chisholm, Donald Robert is an individual health care provider with primary practice located at 920 W Ironwood Dr , Coeur D Alene ID 83814-2463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chisholm, Donald Robert can be contacted via phone (208) 667-4557.

Contact Information

Primary practice address
920 W Ironwood Dr Coeur D Alene ID 83814-2463
Phone: (208) 667-4557
Fax: (208) 765-2887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M4527 Idaho

Profile Details

NPI number 1336119932
LBN Legal business name Chisholm, Donald Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 22nd, 2020 - about 4 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 1336119932 NPPES
Idaho MEDICAID 003641200

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