Edstrom, Cynthia

Edstrom, Cynthia is an sole proprietor health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Edstrom, Cynthia can be contacted via phone (208) 381-2222.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X M8632 Idaho

Profile Details

NPI number 1265461198
LBN Legal business name Edstrom, Cynthia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 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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