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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871540708 | NPPES |
| Nevada | MEDICAID | 100503714 | |
| Nevada | Other | M-10458 |
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