East Falls Plastic Surgery Llc

LBN: East Falls Plastic Surgery Llc
East Falls Plastic Surgery Llc is an health care organization with primary practice located at 2860 Channing Way Suite 114A, Idaho Falls ID 83404-7531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. East Falls Plastic Surgery Llc can be contacted via phone (208) 535-4565, or through Kane, David J. via phone (801) 568-5933.

Contact Information

Primary practice address
2860 Channing Way Suite 114A Idaho Falls ID 83404-7531
Phone: (208) 535-4565
Fax: (208) 535-4564
Website:
Map and Directions
Authorized official contact:
Name: Kane, David J.
Phone: (801) 568-5933

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X Idaho

Profile Details

NPI number 1023267895
LBN Legal business name East Falls Plastic Surgery Llc
DBA Doing business as
Authorized official Kane, David J.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2008
Last updated Feb 18th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023267895 NPPES
Wyoming MEDICAID 1023267895
Wyoming MEDICAID 1023267895
Wyoming MEDICAID 1023267895
Wyoming MEDICAID 808218000

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