Greenwald Neurosurgical Pc

LBN: Greenwald Neurosurgical Pc
Greenwald Neurosurgical Pc is an health care organization with primary practice located at 3155 Channing Way Suite B, Idaho Falls ID 83404-7561. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Greenwald Neurosurgical Pc can be contacted via phone (208) 535-4800, or through Ditmore, Janeene Anne via phone (208) 535-4800.

Contact Information

Primary practice address
3155 Channing Way Suite B Idaho Falls ID 83404-7561
Phone: (208) 535-4800
Fax: (208) 535-4807
Website:
Map and Directions
Authorized official contact:
Name: Ditmore, Janeene Anne
Phone: (208) 535-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1528127057
LBN Legal business name Greenwald Neurosurgical Pc
DBA Doing business as
Authorized official Ditmore, Janeene Anne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 25th, 2009 - about 15 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 1528127057 NPPES
Idaho Other 76836 BLUE CROSS
Idaho Other 8M987 BLUE CROSS
Idaho Other 000010001551 BLUE CROSS

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