Djernes, Michael R.

Djernes, Michael R. is an individual health care provider with primary practice located at 215 E Hawaii Ave , Nampa ID 83686-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Djernes, Michael R. can be contacted via phone (208) 463-3197.

Contact Information

Primary practice address
215 E Hawaii Ave Nampa ID 83686-6011
Phone: (208) 463-3197
Fax: (208) 463-3044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M5756 Idaho

Profile Details

NPI number 1346230356
LBN Legal business name Djernes, Michael R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Aug 13th, 2020 - about 5 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 1346230356 NPPES
Idaho Other 39594 BLUE CROSS
Idaho MEDICAID 002363800 BLUE CROSS
Idaho Other 000010034804 BLUE CROSS
Idaho Other 000010001980 BLUE CROSS
Idaho Other 130007001 BLUE CROSS
Idaho Other 57562 BLUE CROSS
Idaho Other 45153 BLUE CROSS

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