Dudek, John Kenneth

Dudek, John Kenneth is an individual health care provider with primary practice located at 500 W Fort St Medical Services, Boise ID 83702-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dudek, John Kenneth can be contacted via phone (208) 422-1325.

Contact Information

Primary practice address
500 W Fort St Medical Services Boise ID 83702-4501
Fax: (208) 422-1319
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 21562 Arizona

Profile Details

NPI number 1235216706
LBN Legal business name Dudek, John Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - 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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