Eric Gilbreath Md Pa

LBN: Eric Gilbreath Md Pa
Eric Gilbreath Md Pa is an health care organization with primary practice located at 413 Allumbaugh St Ste 101, Boise ID 83704-9212. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Eric Gilbreath Md Pa can be contacted via phone (208) 323-1125, or through Sterling, Tricia via phone (208) 323-1125.

Contact Information

Primary practice address
413 Allumbaugh St Ste 101 Boise ID 83704-9212
Phone: (208) 323-1125
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sterling, Tricia
Phone: (208) 323-1125

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X M8740 Idaho

Profile Details

NPI number 1447495114
LBN Legal business name Eric Gilbreath Md Pa
DBA Doing business as
Authorized official Sterling, Tricia
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2008
Last updated Dec 10th, 2008 - about 17 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 1447495114 NPPES
Idaho MEDICAID 806527400

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