Glen S Lovelace Md Pa

LBN: Glen S Lovelace Md Pa
Glen S Lovelace Md Pa is an health care organization with primary practice located at 333 N 1St St Ste 260 , Boise ID 83702-6132. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Glen S Lovelace Md Pa can be contacted via phone (208) 345-3136, or through Lovelace, Glen S via phone (208) 345-3136.

Contact Information

Primary practice address
333 N 1St St Ste 260 Boise ID 83702-6132
Phone: (208) 345-3136
Fax: (208) 345-0984
Website:
Map and Directions
Authorized official contact:
Name: Lovelace, Glen S Doctor of Medicine (MD)
Phone: (208) 345-3136

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M6570 Idaho

Profile Details

NPI number 1023053204
LBN Legal business name Glen S Lovelace Md Pa
DBA Doing business as
Authorized official Lovelace, Glen S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jun 1st, 2009 - 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 1023053204 NPPES
Idaho Other 8D608 BLUE CROSS GROUP NUMBER
Idaho Other 000010028711 BLUE CROSS GROUP NUMBER

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