Davies, Brenda S

Davies, Brenda S is an individual health care provider with primary practice located at 315 E Elm St Suite 310, Caldwell ID 83605-4857. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davies, Brenda S can be contacted via phone (208) 454-2035.

Contact Information

Primary practice address
315 E Elm St Suite 310 Caldwell ID 83605-4857
Phone: (208) 454-2035
Fax: (208) 454-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G05134 Idaho

Profile Details

NPI number 1407826209
LBN Legal business name Davies, Brenda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 4th, 2009 - about 16 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 1407826209 NPPES
Idaho Other 15024 BLUE CROSS OF IDAHO
Idaho MEDICAID 207527 BLUE CROSS OF IDAHO
Idaho Other 000010001161 BLUE CROSS OF IDAHO
Idaho MEDICAID 003658200 BLUE CROSS OF IDAHO

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