Hammond, Boyd Lewis
Hammond, Boyd Lewis is an sole proprietor health care provider with primary practice located at 2860 Channing Way Ste 100A, Idaho Falls ID 83404-7531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hammond, Boyd Lewis can be contacted via phone (208) 535-4567.Contact Information
Primary practice address
2860 Channing Way Ste 100A
Idaho Falls ID 83404-7531
Phone: (208) 535-4567
Fax: (208) 535-4569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | M3747 | Idaho |
Profile Details
NPI number | 1871689844 |
---|---|
LBN Legal business name | Hammond, Boyd Lewis |
Credentials | MEDICAL DOCTOR |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 5th, 2006 |
Last updated | Jun 13th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871689844 | NPPES |
Idaho | MEDICAID | 002478100 |
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