Eastern Idaho Neurological Associates Pa

LBN: Eastern Idaho Neurological Associates Pa
Eastern Idaho Neurological Associates Pa is an health care organization with primary practice located at 2353 Coronado Drive , Idaho Falls ID 83404. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Eastern Idaho Neurological Associates Pa can be contacted via phone (208) 552-4823, or through Vincent, Stephen G via phone (208) 552-4823.

Contact Information

Primary practice address
2353 Coronado Drive Idaho Falls ID 83404
Phone: (208) 552-4823
Fax: (208) 552-4856
Website:
Map and Directions
Authorized official contact:
Name: Vincent, Stephen G Doctor of Medicine (MD)
Phone: (208) 552-4823

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M6269 Idaho

Profile Details

NPI number 1437252723
LBN Legal business name Eastern Idaho Neurological Associates Pa
DBA Doing business as
Authorized official Vincent, Stephen G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Jan 6th, 2015 - about 9 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 1437252723 NPPES
Idaho MEDICAID 002724000

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