Codina, Michael A

Codina, Michael A is an individual health care provider with primary practice located at 4424 E Flamingo Ave Suite 300, Nampa ID 83687-9306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Codina, Michael A can be contacted via phone (208) 302-0200.

Contact Information

Primary practice address
4424 E Flamingo Ave Suite 300 Nampa ID 83687-9306
Phone: (208) 302-0200
Fax: (208) 302-0255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X M-10458 Idaho
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 10982 Nevada

Profile Details

NPI number 1871540708
LBN Legal business name Codina, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Nov 15th, 2016 - about 9 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 1871540708 NPPES
Nevada MEDICAID 100503714
Nevada Other M-10458

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