Dirks, Bret A

Dirks, Bret A is an individual health care provider with primary practice located at 850 W Ironwood Dr Suite 300 , Coeur Dalene ID 83814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dirks, Bret A can be contacted via phone (208) 667-1376.

Contact Information

Primary practice address
850 W Ironwood Dr Suite 300 Coeur Dalene ID 83814
Phone: (208) 667-1376
Fax: (208) 292-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X M6482 Idaho

Profile Details

NPI number 1962508366
LBN Legal business name Dirks, Bret A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 27th, 2008 - about 17 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 1962508366 NPPES
Idaho MEDICAID 2741300
Idaho Other 1376455

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