Emry, Geoffrey Thomas

Emry, Geoffrey Thomas is an individual health care provider with primary practice located at 920 W Ironwood Dr Ste 101 , Coeur D Alene ID 83814-2464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Emry, Geoffrey Thomas can be contacted via phone (208) 667-4557.

Contact Information

Primary practice address
920 W Ironwood Dr Ste 101 Coeur D Alene ID 83814-2464
Fax: (208) 765-2887
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M8556 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00041052 Washington

Profile Details

NPI number 1902891518
LBN Legal business name Emry, Geoffrey Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jan 11th, 2010 - about 14 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 1902891518 NPPES
Idaho MEDICAID 806393700

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