Digeronimo, Robert J

Digeronimo, Robert J is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Digeronimo, Robert J can be contacted via phone (208) 381-2088.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-2088
Fax: (208) 381-2893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X K9518 Texas
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X M-16862 Idaho

Profile Details

NPI number 1497788426
LBN Legal business name Digeronimo, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 26th, 2023 - about last year

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 1497788426 NPPES
Texas MEDICAID 0375487-03

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